Atopische Dermatitis und Kuhmilcheiwei?allergie

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• 作者：Karin Spiesz
• 关键词：Kuhmilcheiwei?allergie ; Aminos?ureformulanahrung ; Kuhmilchalternativen ; Getreidedrinks ; Kuhmilchfreie Ern?hrung ; Cow milk allergy ; Amino acid formulas ; Milk substitutes ; Cereal based milk alternatives ; Cow?s milk free diet
• 刊名：hautnah
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：14
• 期：3
• 页码：58-63
• 全文大小：973 KB
• 作者单位：Karin Spiesz (1)
  
  1. Ern?hrungsmedizinische Beratung, Landeskrankenhaus Salzburg, Universit?tsklinikum der PMU, Müllner Hauptstra?e 48, 5020, Salzburg, ?sterreich
  
• 刊物主题：Dermatology; Medicine/Public Health, general;
• 出版者：Springer Vienna

文摘

This paper highlights aspects of eliminating cow’s milk in everyday life. Following a guideline-based diagnosis of a clinically relevant cow’s milk protein allergy in infants and children, elimination of cow’s milk and all dairy products from the diet is the only treatment option currently available. With the nutrients it contains, milk is the ideal source of nutrition for healthy growth and development in infancy and childhood, so that an adequate replacement must be found if it is not tolerated. In the first year of life and beyond—or until milk can be tolerated—an amino acid formula or an extensively hydrolyzed formula are the most suitable replacement options. Milk with moderate-to-low levels of hydrolysation “HA-Formulas-are not considered to be therapeutic options in the treatment of cow’s milk allergy, as such are designed to reduce the risk of developing allergy to cows-milk proteins for infants with a family history of allergy if used in the first 4 months of life. Milk from other animal sources such as sheep or goats should also be avoided as treatment a method as well as soy milk in the first year of life. While cereal-based drinks represent alternatives as regards culinary use, they are not a suitable replacement for cow?s milk, due to their inadequate nutritional composition. Preparation of dairy-free meals becomes a focus of attention as soon as infants begin being weaned onto solid foods and share family meals at the table. In the case of packaged food products, the list of ingredients must be perused for milk proteins. As of 13 December 2014, the 14 declarable allergens, including milk protein, must also be listed for unpackaged loose food products. The prognosis for cow’s milk protein allergy is very good: By the second year of life, about 75- of affected children develop tolerance, a figure which increases to around 90- by school age.