International Journal of Food and Nutritional Science International Journal of Food and Nutritional Science International Journal of Food and Nutritional Science International Journal of Food and Nutritional Science 2377-0619Ommega Online PublishersNew Jersey, USA12110.15436/2377-0619.15.013Research ArticleCow's Milk Allergy: Management And PreventionCow's Milk Allergy: Management And PreventionGiampaolo RicciEditor* E-mail: giampaolo.ricci@unibo.it
The authors have declared that no competing interests exist.
20151408201522IJFNS-15-RW-12113122014110820152015Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp emsp emsp Cow rsquo s milk allergy CMA is one of the most frequent food allergies in childhood with an estimated prevalence of 2 in infants As observed in the natural course of this disease CMA has a good prognosis and more than half of the children reach the tolerance before school age Otherwise many different factors can modulate the natural history of CMA Clinical and laboratory data suggest that many endotypes and phenotypes can be individuated with different evolutions towards tolerance For these reasons physicians need to identify these different patterns to better choose the therapeutic pathway for each patient Another aspect is represented by the developing strategies of primary prevention of CMA such as dietary interventions both in the mother during pregnancy and or lactation and in absence of breast milk also in high risk infants through the use of extensive or partial idrolyzed milk formula Nevertheless many studies have been carried out up today the available data are still conflicting and more robust results should be reported The aim of this review article is to give practical advices in the diagnosis management and prevention of CMA in childhood according to the most recent guidelines and consensus documents 10