TY - JOUR T1 - İnek sütü protein alerjisi AU - Koca, Tuğba AU - Akçam, Mustafa PY - 2015 DA - July DO - 10.5798/diclemedj.0921.2015.02.0572 JF - Dicle Medical Journal JO - diclemedj PB - Dicle University WT - DergiPark SN - 1300-2945 SP - 268 EP - 273 VL - 42 IS - 2 LA - tr AB - İnek Sütü Protein Alerjisi (İSPA) erken çocuklukta en sık görülen besin alerjisidir. Süt çocuklarının %2-3’ünde görülür. IgE aracılı veya IgE aracılı olmayan, birden fazla sistemi ilgilendiren klinik yakınmalar ile karşımıza çıkar. Genellikle erken çocukluk döneminde görülür ve geçicidir. Tanıda ilk ve en önemli basamak iyi alınmış bir öyküdür. Laboratuar testleri tek başına tanı koydurmaz, daima klinik ile birlikte değerlendirilmelidir. İSPA birden fazla immünolojik mekanizma ile oluşabildiğinden birden fazla testin bir arada kullanılması tanı şansını artırır. Ancak testlerin negatif olması tanıyı dışlamaz. Tanıda altın standart eliminasyon diyeti ve besin yükleme testidir. İnek sütü ve ürünlerinin kullanımından kaçınma, hala tüm çocuklarda İSPA tedavisinde ilk seçenek olarak kabul edilmektedir.Anahtar kelimeler: Eliminasyon diyeti, inek sütü protein alerjisi, tedavi, yükleme testi KW - Eliminasyon diyeti KW - inek sütü protein alerjisi KW - tedavi KW - yükleme testi N2 - Cow’s Milk Protein Allergy (CMPA) is the most common food allergy in early childhood. It affects between 2% and 3% of infants. Symptoms and signs related to CMPA which IgE-mediated or non IgE-mediated may involve many different organ systems. The first and most important step in diagnosis is a thorough medical history. Results of laboratory tests alone are not sufficient to make diagnosis, always need to be considered together with the clinical features. CMPA can occur with multiple immunological mechanisms, therefore the diagnosis chance increases with use of numerous tests together. However, the negative test does not exclude the diagnosis. 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