P319 The unexpected ‘troublemaker’ – Behavioural changes in children with cow’s milk protein allergy

Lendvai-Emmert, Dominika; Emmert, Vanessza; Fusz, Katalin; Prémusz, Viktória; Tóth, Gergely

doi:10.1136/archdischild-2019-epa.668

Cited by 1 publication

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“…19 Sleep disturbance is another symptom that has been associated in some studies with CMPA's presence in children. [20][21][22] However, it is important to note that the existing evidence in this regard is limited. The expert panel reached a consensus on this statement and acknowledged the need for further exploration in this area, given that caregivers of children with CMPA often report these sleep-related issues.…”

Section: Diagnosis Of Cmpa Subtypementioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

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