Advantages and Barriers of Mobile Phone

Topics: Food allergy, Milk, Allergy Pages: 37 (9163 words) Published: May 26, 2013
protein allergy in children 2012
(CMPA in children)

cow’s milk

Guidelines for the management of

Malaysian Society of Allergy and Immunology

Committee members
The following are members of the guideline committee:

Professor Dr Lee Way Seah (Chair)
Professor of Paediatrics and Consultant Paediatric Gastroenterologist and Hepatologist Head, Department of Paediatrics University of Malaya Medical Centre, Kuala Lumpur Past President, College of Paediatrics, Academy of Medicine of Malaysia (AMMCOP)

Dr Alvin Khoh Kim Mun
Paediatrician and Fellow in Paediatric Gastroenterology University of Malaya Medical Centre, Kuala Lumpur

Dr Amir Hamzah Abdul Latiff
Consultant Paediatrician and Consultant Clinical Immunologist/Allergist Pantai Hospital Kuala Lumpur, Bangsar, Kuala Lumpur President, Malaysian Society of Allergy and Immunology (MSAI) Communications Council Member, World Allergy Organization (WAO)

Dr Chai Pei Fan
Consultant Paediatrician and Paediatric Gastroenterologist and Hepatologist Pantai Hospital Kuala Lumpur, Bangsar, Kuala Lumpur

Dr Cheong Hon Kin
Paediatrician Hospital Selayang, Batu Caves, Selangor Darul Ehsan

Dr Chong Sze Yee
Paediatrician and Fellow in Paediatric Gastroenterology Hospital Selayang, Batu Caves, Selangor Darul Ehsan

Dr Kew Seih Teck
Paediatrician and Fellow in Paediatric Gastroenterology Hospital Selayang, Batu Caves, Selangor Darul Ehsan

Dr Nazrul Neezam Nordin
Consultant Paediatrician and Paediatric Gastroenterologist and Hepatologist Paediatric Institute, Hospital Kuala Lumpur, Kuala Lumpur

Dr Ng Ruey Terng
Lecturer in Paediatric Gastroenterology, Hepatology and Nutrition University of Malaya Medical Centre, Kuala Lumpur

Dr Nur Atiqah Ng Abdullah
Consultant Paediatrician and Paediatric Gastroenterologist Pantai Hospital Kuala Lumpur, Bangsar, Kuala Lumpur

Cik Siti Hawa bt Mohd Taib
Clinical Dietitian Head, Department of Dietetics University of Malaya Medical Centre, Kuala Lumpur

Datuk Dr Zulkifli Ismail
Consultant Paediatrician and Paediatric Cardiologist KPJ Selangor Specialist Hospital, Shah Alam, Selangor Darul Ehsan President Elect, Asia Pacific Paediatric Association (APPA) Past President, Malaysian Paediatric Association (MPA)

2

Guidelines for the management of cow’s milk protein allergy (CMPA)

Terms of reference
Target audience:
This guideline aims to cater mainly for paediatricians, primary care physicians and other frontline healthcare providers involved in providing care for children.

Format:
This guideline consists of easy-to-read information with appropriate flow charts. All facts are evidence-based as far as possible. Where evidence is not currently available, the combined and consensus opinion of the members with adequate consultation with senior colleagues prevailed. 1. The full guidelines on the management of cow’s milk protein allergy may be obtained from the following websites: •Malaysian Paediatric Association (MPA) http://www.mpaweb.org.my •Malaysian Society of Allergy and Immunology (MSAI) http://www.allergymsai.org •Danone Dumex (Malaysia) Sdn Bhd http://www.dumex.com.my A pocket reference guide which is a summary of the recommendations for the management of cow’s milk protein allergy may be obtained from MPA, MSAI or Danone Dumex (Malaysia) Sdn Bhd.

2.

Content:
The committee members had the sole right to determine the content of the suggested guidelines. The sponsor did not influence the content of this publication at any time and in any way.

Disclosure:
No conflict of interest declared by any of the committee members.

Source of funding:
This guideline was made possible by an unrestricted educational grant from Danone Dumex (Malaysia) Sdn Bhd.

Disclaimer:
The content and recommendations made in this guideline is based solely on currently available scientific evidence and/or best clinical practice. The committee recognises the scarcity of published/available local...

References: 41. Lake AM. Food-induced eosinophilic proctocolitis. J Pediatr Gastroenterol Nutr 2000;30 Suppl:S58–S60. 42. Sicherer SH. Food protein-induced enterocolitis syndrome: case presentations and management lessons. J Allergy Clin Immunol 2005;115:149–156. 43. Siu LY, Tse K & Lui YS. Severe cow’s milk protein allergy in a Chinese neonate. Hong Kong Med J 2001;7:442–444. 44. Lake AM. Dietary protein enterocolitis. Curr Allergy Rep 2001;1:76–79. 45. Savilahti E. Food-induced malabsorption syndromes. J Pediatr Gastroenterol Nutr 2000;30 Suppl:S61–S66. 46. Sicherer SH, Eigenmann PA & Sampson HA. Clinical features of food protein-induced enterocolitis syndrome. J Pediatr 1998;133:214–219. 47. Clifford TJ, Campbell MK, Speechley KN, et al. Sequelae of infant colic: evidence of transient infant distress and absence of lasting effects on maternal mental health. Arch Pediatr Adolesc Med 2002;156:1183–1188. 48. Jordan B, Heine RG, Meehan M, et al. Effect of antireflux medication, placebo and infant mental health intervention on persistent crying: a randomized clinical trial. J Paediatr Child Health 2006;42:49–58. 49. Carroccio A & Iacono G. Review article: Chronic constipation and food hypersensitivity - an intriguing relationship. Aliment Pharmacol Ther 2006;24:1295–1304. 50. Carroccio A & Iacono G. Review article: Chronic constipation and food hypersensitivity--an intriguing relationship. Aliment Pharmacol Ther 2006;24:1295–1304. 51. Crowley E, Williams L, Roberts T, et al. Evidence for a role of cow’s milk consumption in chronic functional constipation in children: Systematic review of literature from 1980 to 2006. Nutr Dietetics 2008;65:29–35. 52. Turunen S, Karttunen TJ & Kokkonen J. Lymphoid nodular hyperplasia and cow’s milk hypersensitivity in children with chronic constipation. J Pediatr 2004;145:606–611. 53. Heiner D & Sears J. Chronic respiratory disease associated with multiple circulation precipitins to cow’s milk. Am J Dis Child 1960;100:500–502. 54. Bindslev-Jensen C, Ballmer-Weber BK, Bengtsson U, et al. Standardization of food challenges in patients with immediate reactions to foods--position paper from the European Academy of Allergology and Clinical Immunology. Allergy 2004;59:690–697. 55. Sporik R, Hill DJ & Hosking CS. Specificity of allergen skin testing in predicting positive open food challenges to milk, egg and peanut in children. Clin Exp Allergy 2000;30:1540–1546. 56. Sampson HA. Utility of food-specific IgE concentrations in predicting symptomatic food allergy. J Allergy Clin Immunol 2001;107:891–896. 57. Boyano Martinez T., Garcia-Ara C, Diaz-Pena JM, et al. Validity of specific IgE antibodies in children with egg allergy. Clin Exp Allergy 2001;31:1464–1469. 58. Garcia-Ara C, Boyano-Martinez T, az-Pena JM, et al. Specific IgE levels in the diagnosis of immediate hypersensitivity to cows’ milk protein in the infant. J Allergy Clin Immunol 2001;107:185–190. 59. Sampson HA. Food allergy. Part 2: diagnosis and management. J Allergy Clin Immunol 1999;103:981–989. 60. Fiocchi A, Bouygue GR, Restani P, et al. Anaphylaxis to rice by inhalation. J Allergy Clin Immunol 2003;111:193–195. 61. Roberts G & Lack G. Relevance of inhalational exposure to food allergens. Curr Opin Allergy Clin Immunol 2003;3:211–215. 62. Tan BM, Sher MR, Good RA, et al. Severe food allergies by skin contact. Ann Allergy Asthma Immunol 2001;86:583–586. 63. Martelli A, De CA, Corvo M, et al. Beef allergy in children with cow’s milk allergy; cow’s milk allergy in children with beef allergy. Ann Allergy Asthma Immunol 2002;89:38–43. 64. Werfel SJ, Cooke SK & Sampson HA. Clinical reactivity to beef in children allergic to cow’s milk. J Allergy Clin Immunol 1997;99:293–300. 65. Basnet S, Schneider M, Gazit A, et al. Fresh goat’s milk for infants: myths and realities--a review. Pediatrics 2010;125:e973–e977. 66. Klemola T, Vanto T, Juntunen-Backman K, et al. Allergy to soy formula and to extensively hydrolyzed whey formula in infants with cow’s milk allergy: A prospective, randomized study with a follow-up to the age of 2 years. J Pediatr 2002;140:219–224. 67. Zeiger RS, Sampson HA, Bock SA, et al. Soy allergy in infants and children with IgE-associated cow’s milk allergy. J Pediatr 1999;134:614–622. 68. Kemp AS, Hill DJ, Allen KJ, et al. Guidelines for the use of infant formulas to treat cows milk protein allergy: an Australian consensus panel opinion. Med J Aust 2008;188:109–112. 69. Vandenplas Y, Koletzko S, Isolauri E, et al. Guidelines for the diagnosis and management of cow’s milk protein allergy in infants. Arch Dis Child 2007;92:902–908. 70. Liberman DB & Teach SJ. Management of anaphylaxis in children. Pediatr Emerg Care 2008;24:861–866. 71. Muraro A, Dreborg S, Halken S, et al. Dietary prevention of allergic diseases in infants and small children. Part III: Critical review of published peer-reviewed observational and interventional studies and final recommendations. Pediatr Allergy Immunol 2004;15:291–307. 72. Host A, Koletzko B, Dreborg S, et al. Dietary products used in infants for treatment and prevention of food allergy. Joint Statement of the European Society for Paediatric Allergology and Clinical Immunology (ESPACI) Committee on Hypoallergenic Formulas and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition. Arch Dis Child 1999;81:80–84.
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Guidelines for the management of cow’s milk protein allergy (CMPA)
The full guidelines on the management of cow’s milk protein allergy may be obtained from the following websites: http://www.mpaweb.org.my http://www.allergymsai.org http://www.dumex.com.my
The committee members had the sole right to determine the content of the suggested guidelines. The sponsor did not influence the content of this publication at any time and in any way.
Malaysian Society of Allergy and Immunology
© 2012 Malaysian Paediatric Association and Malaysian Society of Allergy and Immunology. All rights reserved.
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