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Vol. 48. Issue 2.
Pages 202-210 (March - April 2020)
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Vol. 48. Issue 2.
Pages 202-210 (March - April 2020)
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DOI: 10.1016/j.aller.2019.05.004
Diagnosis and management of cow’s milk protein allergy in Turkey: Region-specific recommendations by an expert-panel
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N. Gulera,
Corresponding author
nerminguler@yahoo.com

Corresponding author.
, F.C. Cokugrasb, N. Sapanc, A. Selimoglud, I. Turktase, H. Cokugrasf, M. Aydogang, O.F. Beserb
a Istanbul University Medical School, Department of Pediatrics, Division of Allergy and Immunology, Istanbul, Turkey
b Istanbul University - Cerrahpasa, Cerrahpasa Medical School, Department of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Istanbul, Turkey
c Uludag University, Department of Pediatrics, Division of Allergy and Immunology, Bursa, Turkey
d Inonu University, Department of Pediatrics, Division of Gastroenterology, Malatya, Turkey
e Gazi University Medical School, Department of Pediatrics, Division of Allergy and Asthma, Ankara, Turkey
f Istanbul University - Cerrahpasa, Cerrahpasa Medical School, Department of Pediatrics, Division of Allergy and Immunology, Istanbul, Turkey
g Kocaeli University Medical School, Department of Pediatrics, Division of Allergy and Immunology, Kocaeli, Turkey
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Table 1. Signs and symptoms of cow’s milk protein allergy.
Abstract

Cow’s milk protein allergy (CMPA) is the most common type of food-allergy in younger children. Prognosis is usually good, with most children developing tolerance before school age. Children may present with a wide spectrum of symptoms that range from mild to severe; skin reactions such as angioedema and urticaria and gastrointestinal symptoms are the most common presentations of CMPA. Approximately one-third of CMPA patients suffer from multiple food-allergies; severe conditions such as anaphylactic shock (9%), eosinophilic esophagitis (4.7%), and food-protein induced enterocolitis (1%) may also develop in some children. Timely and accurate diagnosis and management is essential for proper growth and development of children with CMPA. In this expert consensus report, we aimed to adapt current understandings in the CMPA field to the specific conditions in Turkey and health system to help physicians with their day-to-day decision making.

Keywords:
Cow’s milk protein allergy
Consensus report
Turkey

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