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Year 2015, Volume: 1 Issue: 2, 108 - 114, 17.09.2015

Deniz Özçeker Zeynep Tamay

https://doi.org/10.5606/fng.btd.2015.021

Abstract

The incidence of food allergy is increasing in the worldwide and also in our country. Cow’s milk and eggs are the most common foods that cause allergy in children. Cow’s milk allergy can be classified as IgE mediated, non-IgE mediated and mixed type reactions. However, in clinical practice, type of immunologic reactions cannot be easily classified just based on history and clinical findings. In this article approach to a child with cow’s milk allergy is reviewed based on the current knowledge in this field

Keywords

Allergy; children; cow’s milk

References

  • Sicherer SH. Epidemiology of food allergy. J Allergy Clin Immunol 2011;127:1105-18.
  • May CD. Objective clinical and laboratory studies of immediate hypersensitivity reactions to foods in asthmatic children. J Allergy Clin Immunol 1976;58:500-15.
  • Pawankar R, Canonica GW, Holgate ST, Lockey RF. WAO White Book on Allergy 2011-2012: Exucutive Summary. Milwaukee: World Allergy Organization; 2011.
  • Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol 2007;120:638-46.
  • Hİst A, Halken S, Jacobsen HP, Christensen AE, Herskind AM, Plesner K. Clinical course of cow’s milk protein allergy/intolerance and atopic diseases in childhood. Pediatr Allergy Immunol 2002;13:23-8.
  • Matricardi PM, Bockelbrink A, Beyer K, Keil T, Niggemann B, Grüber C, et al. Primary versus secondary immunoglobulin E sensitization to soy and wheat in the Multi-Centre Allergy Study cohort. Clin Exp Allergy 2008;38:493-500.
  • Dean T, Venter C, Pereira B, Arshad SH, Grundy J, Clayton CB, et al. Patterns of sensitization to food and aeroallergens in the first 3 years of life. J Allergy Clin Immunol 2007;120:1166-71.
  • Altinta¤ D, Güneer S, Evliyao¤lu N, Yüksel B, Atici A, Serbest M. A prospective study of cow’s milk allergy in Turkish infants. Acta Paediatr 1995;84:1320-1.
  • Wal JM. Cow’s milk allergens. Allergy 1998;53:1013-22.
  • Fiocchi A, Schünemann HJ, Brozek J, Restani P, Beyer K, Troncone R, et al. Diagnosis and Rationale for Action Against Cow’s Milk Allergy (DRACMA): a summary report. J Allergy Clin Immunol 2010;126:1119-28.
  • Restani P, Velonà T, Plebani A, Ugazio AG, Poiesi C, Muraro A, et al. Evaluation by SDS-PAGE and immunoblotting of residual antigenicity in hydrolysed protein formulas. Clin Exp Allergy 1995;25:651-8.
  • Bellioni-Businco B, Paganelli R, Lucenti P, Giampietro PG, Perborn H, Businco L. Allergenicity of goat’s milk in children with cow’s milk allergy. J Allergy Clin Immunol 1999;103:1191-4.
  • Strobel S, Mowat AM. Immune responses to dietary antigens: oral tolerance. Immunol Today 1998;19:173-81.
  • Sampson HA. Update on food allergy. J Allergy Clin Immunol 2004;113:805-19.
  • Leung DY, Boguniewicz M. Advances in allergic skin diseases. J Allergy Clin Immunol 2003;111:805-12.
  • Sampson HA. 9. Food allergy. J Allergy Clin Immunol 2003;111:540-7.
  • Eigenmann PA, Calza AM. Diagnosis of IgE-mediated food allergy among Swiss children with atopic dermatitis. Pediatr Allergy Immunol 2000;11:95-100.
  • Bernstein IL, Li JT, Bernstein DI, Hamilton R, Spector SL, Tan R, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol 2008;100:1-148.
  • Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. J Allergy Clin Immunol 2010;126:1105-18.
  • Stapel SO, Asero R, Ballmer-Weber BK, Knol EF, Strobel S, Vieths S, et al. Testing for IgG4 against foods is not recommended as a diagnostic tool: EAACI Task Force Report. Allergy 2008;63:793-6.
  • Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, et al. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr 2012;55:221-9.
  • Steinke M, Fiocchi A, Kirchlechner V, Ballmer-Weber B, Brockow K, Hischenhuber C, et al. Perceived food allergy in children in 10 European nations. A randomised telephone survey. Int Arch Allergy Immunol 2007;143:290-5.
  • Fiocchi A, Terracciano L, Bouygue GR, Veglia F, Sarratud T, Martelli A, et al. Incremental prognostic factors associated with cow’s milk allergy outcomes in infant and child referrals: the Milan Cow’s Milk Allergy Cohort study. Ann Allergy Asthma Immunol 2008;101:166-73.
  • Kneepkens CM, Meijer Y. Clinical practice. Diagnosis and treatment of cow’s milk allergy. Eur J Pediatr 2009;168:891-6.
  • Instute of Medicine. Nutrition Durin Pregnancy and Lactation: An Implementation Guide. 2nd ed. Washington: Instute of Medicine; 1992.
  • Agostoni C, Axelsson I, Goulet O, Koletzko B, Michaelsen KF, Puntis J, et al. Soy protein infant formulae and follow-on formulae: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2006;42:352-61.
  • Bhatia J, Greer F. Use of soy protein-based formulas in infant feeding. Pediatrics 2008;121:1062-8.
  • Koletzko B. Nutritional considerations on elimination diets and on substitutes for human milk and cow’s milk based infant formulae. In: Koletzko S, editor. Food Allergy in Childhood. Causes and Consequences. Hyderabad: SPS Publications; 2007. p. 158-68.
  • Staden U, Rolinck-Werninghaus C, Brewe F, Wahn U, Niggemann B, Beyer K. Specific oral tolerance induction in food allergy in children: efficacy and clinical patterns of reaction. Allergy 2007;62:1261-9.
  • Nowak-Wegrzyn A, Sampson HA. Future therapies for food allergies. J Allergy Clin Immunol 2011;127:558-73.

Çocuklarda inek sütü alerjisine yaklaşım

Year 2015, Volume: 1 Issue: 2, 108 - 114, 17.09.2015

Deniz Özçeker Zeynep Tamay

https://doi.org/10.5606/fng.btd.2015.021

Abstract

Tüm dünyada olduğu gibi ülkemizde de besin alerjilerinin sıklığı giderek artmaktadır. Çocuklarda en sık alerjiye neden olan besinler inek sütü ve yumurtadır. İnek sütü alerjisi; IgE aracılı, IgE aracılı olmayan (hücresel) ve karma tip reaksiyonlar olarak sınıflandırılabilir. Ancak klinik uygulamada, tek başına .ykü ve fizik muayeneye dayanarak bu ayrımı kesin olarak yapmak mümkün değildir. Bu makalede bu alandaki güncel bilgiler ışığında inek sütü alerjisi olan çocuğa yaklaşım gözden geçirilecektir.

Anahtar sözcükler: Alerji; çocuk; inek sütü.

Keywords

Alerji; çocuk; inek sütü

References

  • Sicherer SH. Epidemiology of food allergy. J Allergy Clin Immunol 2011;127:1105-18.
  • May CD. Objective clinical and laboratory studies of immediate hypersensitivity reactions to foods in asthmatic children. J Allergy Clin Immunol 1976;58:500-15.
  • Pawankar R, Canonica GW, Holgate ST, Lockey RF. WAO White Book on Allergy 2011-2012: Exucutive Summary. Milwaukee: World Allergy Organization; 2011.
  • Rona RJ, Keil T, Summers C, Gislason D, Zuidmeer L, Sodergren E, et al. The prevalence of food allergy: a meta-analysis. J Allergy Clin Immunol 2007;120:638-46.
  • Hİst A, Halken S, Jacobsen HP, Christensen AE, Herskind AM, Plesner K. Clinical course of cow’s milk protein allergy/intolerance and atopic diseases in childhood. Pediatr Allergy Immunol 2002;13:23-8.
  • Matricardi PM, Bockelbrink A, Beyer K, Keil T, Niggemann B, Grüber C, et al. Primary versus secondary immunoglobulin E sensitization to soy and wheat in the Multi-Centre Allergy Study cohort. Clin Exp Allergy 2008;38:493-500.
  • Dean T, Venter C, Pereira B, Arshad SH, Grundy J, Clayton CB, et al. Patterns of sensitization to food and aeroallergens in the first 3 years of life. J Allergy Clin Immunol 2007;120:1166-71.
  • Altinta¤ D, Güneer S, Evliyao¤lu N, Yüksel B, Atici A, Serbest M. A prospective study of cow’s milk allergy in Turkish infants. Acta Paediatr 1995;84:1320-1.
  • Wal JM. Cow’s milk allergens. Allergy 1998;53:1013-22.
  • Fiocchi A, Schünemann HJ, Brozek J, Restani P, Beyer K, Troncone R, et al. Diagnosis and Rationale for Action Against Cow’s Milk Allergy (DRACMA): a summary report. J Allergy Clin Immunol 2010;126:1119-28.
  • Restani P, Velonà T, Plebani A, Ugazio AG, Poiesi C, Muraro A, et al. Evaluation by SDS-PAGE and immunoblotting of residual antigenicity in hydrolysed protein formulas. Clin Exp Allergy 1995;25:651-8.
  • Bellioni-Businco B, Paganelli R, Lucenti P, Giampietro PG, Perborn H, Businco L. Allergenicity of goat’s milk in children with cow’s milk allergy. J Allergy Clin Immunol 1999;103:1191-4.
  • Strobel S, Mowat AM. Immune responses to dietary antigens: oral tolerance. Immunol Today 1998;19:173-81.
  • Sampson HA. Update on food allergy. J Allergy Clin Immunol 2004;113:805-19.
  • Leung DY, Boguniewicz M. Advances in allergic skin diseases. J Allergy Clin Immunol 2003;111:805-12.
  • Sampson HA. 9. Food allergy. J Allergy Clin Immunol 2003;111:540-7.
  • Eigenmann PA, Calza AM. Diagnosis of IgE-mediated food allergy among Swiss children with atopic dermatitis. Pediatr Allergy Immunol 2000;11:95-100.
  • Bernstein IL, Li JT, Bernstein DI, Hamilton R, Spector SL, Tan R, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol 2008;100:1-148.
  • Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. J Allergy Clin Immunol 2010;126:1105-18.
  • Stapel SO, Asero R, Ballmer-Weber BK, Knol EF, Strobel S, Vieths S, et al. Testing for IgG4 against foods is not recommended as a diagnostic tool: EAACI Task Force Report. Allergy 2008;63:793-6.
  • Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, et al. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr 2012;55:221-9.
  • Steinke M, Fiocchi A, Kirchlechner V, Ballmer-Weber B, Brockow K, Hischenhuber C, et al. Perceived food allergy in children in 10 European nations. A randomised telephone survey. Int Arch Allergy Immunol 2007;143:290-5.
  • Fiocchi A, Terracciano L, Bouygue GR, Veglia F, Sarratud T, Martelli A, et al. Incremental prognostic factors associated with cow’s milk allergy outcomes in infant and child referrals: the Milan Cow’s Milk Allergy Cohort study. Ann Allergy Asthma Immunol 2008;101:166-73.
  • Kneepkens CM, Meijer Y. Clinical practice. Diagnosis and treatment of cow’s milk allergy. Eur J Pediatr 2009;168:891-6.
  • Instute of Medicine. Nutrition Durin Pregnancy and Lactation: An Implementation Guide. 2nd ed. Washington: Instute of Medicine; 1992.
  • Agostoni C, Axelsson I, Goulet O, Koletzko B, Michaelsen KF, Puntis J, et al. Soy protein infant formulae and follow-on formulae: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2006;42:352-61.
  • Bhatia J, Greer F. Use of soy protein-based formulas in infant feeding. Pediatrics 2008;121:1062-8.
  • Koletzko B. Nutritional considerations on elimination diets and on substitutes for human milk and cow’s milk based infant formulae. In: Koletzko S, editor. Food Allergy in Childhood. Causes and Consequences. Hyderabad: SPS Publications; 2007. p. 158-68.
  • Staden U, Rolinck-Werninghaus C, Brewe F, Wahn U, Niggemann B, Beyer K. Specific oral tolerance induction in food allergy in children: efficacy and clinical patterns of reaction. Allergy 2007;62:1261-9.
  • Nowak-Wegrzyn A, Sampson HA. Future therapies for food allergies. J Allergy Clin Immunol 2011;127:558-73.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Review
Authors

Deniz Özçeker

Zeynep Tamay This is me

Publication Date September 17, 2015
Published in Issue Year 2015 Volume: 1 Issue: 2

Cite

APA Özçeker, D., & Tamay, Z. (2015). Çocuklarda inek sütü alerjisine yaklaşım. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 1(2), 108-114. https://doi.org/10.5606/fng.btd.2015.021
AMA Özçeker D, Tamay Z. Çocuklarda inek sütü alerjisine yaklaşım. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. September 2015;1(2):108-114. doi:10.5606/fng.btd.2015.021
Chicago Özçeker, Deniz, and Zeynep Tamay. “Çocuklarda Inek sütü Alerjisine yaklaşım”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1, no. 2 (September 2015): 108-14. https://doi.org/10.5606/fng.btd.2015.021.
EndNote Özçeker D, Tamay Z (September 1, 2015) Çocuklarda inek sütü alerjisine yaklaşım. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1 2 108–114.
IEEE D. Özçeker and Z. Tamay, “Çocuklarda inek sütü alerjisine yaklaşım”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 1, no. 2, pp. 108–114, 2015, doi: 10.5606/fng.btd.2015.021.
ISNAD Özçeker, Deniz - Tamay, Zeynep. “Çocuklarda Inek sütü Alerjisine yaklaşım”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1/2 (September 2015), 108-114. https://doi.org/10.5606/fng.btd.2015.021.
JAMA Özçeker D, Tamay Z. Çocuklarda inek sütü alerjisine yaklaşım. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1:108–114.
MLA Özçeker, Deniz and Zeynep Tamay. “Çocuklarda Inek sütü Alerjisine yaklaşım”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, vol. 1, no. 2, 2015, pp. 108-14, doi:10.5606/fng.btd.2015.021.
Vancouver Özçeker D, Tamay Z. Çocuklarda inek sütü alerjisine yaklaşım. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1(2):108-14.
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