Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA): A summary report
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- 作者：Aless ; ro Fiocchi ; Holger J. Schü ; nemann ; Jan Brozek ; Patrizia Restani ; Kirsten Beyer ; Riccardo Troncone ; Alberto Martelli ; Luigi Terracciano ; Sami L. Bahna ; Fabienne Rancé ; Motohiro Ebisawa
- 关键词：Cow's milk allergy ; epidemiology ; amino acid formula ; hydrolyzed milk formula ; soy formula ; hydrolyzed rice formula ; skin prick test ; specific IgE ; oral immunotherapy ; Grading of Recommendations ; Assessments ; Development ; and Evaluation approach
- 刊名：Journal of Allergy and Clinical Immunology
- 出版年：2010
- 出版时间：December 2010
- 年：2010
- 卷：126
- 期：6
- 页码：1119-1128.e12
- 全文大小：519 K
文摘
The 2nd Milan Meeting on Adverse Reactions to Bovine Proteins was the venue for the presentation of the first consensus-based approach to the management of cow's milk allergy. It was also the first time that the Grading of Recommendations, Assessments, Development, and Evaluation approach for formulating guidelines and recommendations was applied to the field of food allergy. In this report we present the contributions in allergen science, epidemiology, natural history, evidence-based diagnosis, and therapy synthesized in the World Allergy Organization Diagnosis and Rationale for Action against Cow's Milk Allergy guidelines and presented during the meeting. A consensus emerged between discussants that cow's milk allergy management should reflect not only basic research but also a newer and better appraisal of the literature in the light of the values and preferences shared by patients and their caregivers in partnership. In the field of diagnosis, atopy patch testing and microarray technology have not yet evolved for use outside the research setting. With foreseeable breakthroughs (eg, immunotherapy and molecular diagnosis) in the offing, the step ahead in leadership can only stem from a worldwide organization implementing consensus-based clinical practice guidelines to diffuse and share clinical knowledge.