Alergia a la proteína de la leche de vaca en menores de un año

  1. Leticia Martínez González 1
  2. María Plaza Carmona 2
  1. 1 Hospital Universitario Marqués de Valdecilla (Santander, España)
  2. 2 Facultad de Ciencias de la Salud. Universidad de León (León, España)
Journal:
Nuberos científica

ISSN: 2173-822X

Year of publication: 2018

Volume: 3

Issue: 25

Pages: 49-55

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Nuberos científica

Abstract

Cow milk protein allergy is a public health problem. The prevalence vary from 2% to 7% in infants under one year of age. The aim of this study is to analyze the current situation about cow’s milk allergy in babies less than one year of age. To describe his clinical manifestations, the different formulas used, the major risk factors influencing its onset and the nurse’s role dealing with infants allergic to cow’s milk. A literature review of published articles related to the topic on infants was carried out between November 2017 and March 2018. The search strategy was designed in the databases: Public Medline (PubMed), Cuiden Plus and Scopus. Milk protein allergy is more likely to have when there is a history of atopy and early exposure to cow’s milk proteins. Symptoms of milk protein allergy can manifest via IgE-Mediated (diarrhea, nausea and vomiting, angioedema, bronchospasm and anaphylactic shock ), non- IgE-mediated (enterocolitis to food proteins and celiac disease) and mixed (atopic dermatitis and asthma). Treatment involves complete avoidance of foods containing cow’s milk proteins, as well as the use of infant formulas, being essential the nurses’s role to teach parents

Bibliographic References

  • Garcia C, El-Qutob D, Martorell A, … IF-A et, 2007 undefined. Sensitization in early age to food allergens in children with atopic dermatitis. Elsevier [Internet]. [cited 2018 Mar 15]; Available from: https:// www.sciencedirect.com/science/article/pii/S0301054607702239
  • Venter C, Clinics SA-P, 2011 U. Epidemiology of food allergy. pediatric. theclinics.com. 2011;58(2):327–49.
  • Vieira MC, Morais MB, Spolidoro JV, Toporovski MS, Cardoso AL, Araujo GT, et al. A survey on clinical presentation and nutritional status of infants with suspected cow’ milk allergy. BMC Pediatr [Internet]. 2010 Dec 23 [cited 2018 Mar 16];10(1):25. Available from: http:// bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-10-25
  • Martorell-Aragonés A, Echeverría-Zudaire L, Alonso- Lebrero E, Bonré-Calvo J, Martín-Muñoz MF, Nevot-Falcó S. Position document: IgE-mediated cow’s milk allergy. Allergol Immunopathol [Internet]. 2015 [cited 2018 May 12];43:1–20. Available from: https://www. sciencedirect.com/science/article/pii/S0301054615000191
  • Saarinen U., Kajosaari M. Breastfeeding as prophylaxis against atopic disease: prospective follow-up study until 17 years old. Lancet [Internet]. Elsevier; 1995 Oct 21 [cited 2018 Mar 16];346(8982):1065– 9. Available from: https://www.sciencedirect.com/science/article/ pii/S014067369591742X
  • Vandenplas Y, Brueton M, Dupont C, … DH-A of disease in, 2007 undefined. Guidelines for the diagnosis and management of cow’s milk protein allergy in infants. adc.bmj.com [Internet]. [cited 2018 Mar 16]; Available from: http://adc.bmj.com/content/92/10/902. short
  • Ávila-Castañón L, Hidalgo-Castro ME, Del Río-Navarro. B., Sienra- Monge J. Alergia a la proteína de la leche de vaca. Rev Alerg México. 2005;52:206–12.
  • Lapeña-López de Armenia S, Hierro-Delgado E. Alergia a proteinas de leche de vaca. Pediatría Integr. 2018;22(2):76–86.
  • Koletzko S, Niggemann B, Dias JA, Heuschkel R, Husby S, Mearin A, et al. Diagnostic approach and management of cow’s-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. journals.lww.com. 2012;55(2).
  • Jarvinen-Seppo K, ToDate SS-U, Waltham undefined, MA undefined, 2013 undefined. Milk allergy: Clinical features and diagnosis. uptodate.com [Internet]. [cited 2018 Mar 15]; Available from: https://www.uptodate.com/contents/milk-allergy-clinical-features- and-diagnosis
  • Societé Française de Pédiatrie. Preparationes diétetiques hydrolysés pour l’ allaitement du nourrisson et prevention de l’ alergie. Arch Fr Pediatr. 1998;45:435–7.
  • Plaza-Martín AM. Alergia a proteinas de leche de vaca. Protoc diagnósticos pediatría. 2013;1:51–61.
  • Allen KJ, Davidson GP, Day AS, Hill DJ. Management of cow’s milk protein allergy in infants and young children: an expert panel perspective. J Paediatr Child Health. 2009;45(9):481–6.
  • Huang F, Kim JS. IgE-Mediated Cow’s Milk Allergy in Children. Curr Allergy Asthma Rep. 2012 Dec 31;12(6):630–40.
  • Brill H. Approach to milk protein allergy in infants. Can Fam Physician. 2008;54(9):1258–64.
  • Miquel I, Arancibia S. Alergia a proteína de leche de vaca en el menor de un año. Rev Chil pediatría. 2012;83(1):78–83.
  • Host 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 Dec; 13(s15):23–8.
  • Dalmau Serraa J, Martorell Aragonés A, Pediatría. el comité DNDLAE de, Suárez Cortina L. Alergia a proteínas de leche de vaca: prevención primaria. Aspectos nutricionales. An pediatría [Internet]. 2008;68(3):295–300. Available from: https://medes.com/publication/ 39637
  • Cervantes-Bustamante R, Pedrero-Olivares I, Toro-Monjaraz EM, Murillo-Márquez P, Ramírez-Mayans JA, Montijo-Barrios E, et al. Hallazgos histopatológicos en niños con diagnóstico de alergia a las proteínas de la leche de la vaca. Rev Gastroenterol México [Internet]. Elsevier Doyma; 2015 Apr 1 [cited 2018 Apr 22];80(2):130–4. Available from: https://www.sciencedirect.com/science/article/pii/ S0375090615000282
  • Walker-Smith J. Hypoallergenic formulas: are they really hypoallergenic? Ann Allergy Asthma Immunol. 2003;6(3):112–4.
  • Plebani A, Restani P, Naselli A, Galli CL, Meini A, Cavagni G, et al. Monoclonal and polyclonal antibodies against casein components of cow milk for evaluation of residual antigenic activity in ‘hypoallergenic’ infant formulas. Clin Exp Allergy. 1997 Aug;27(8):949–56.
  • Maldonado J, Gil A, Narbona E, Molina JA. Special formulas in infant nutrition: a review. Early Hum Dev. 1998;53:23–32.
  • Tormo R. Alergia e intolerancia a la proteína de la leche de vaca [Internet]. Protocolos diagnósticos y terapéuticos en pediatría. p. 11–2. Available from: http//aeped/protocolos/alergia
  • Sierra JI, Giner MT, Martín MA, Girbés M. Alimentación del lactante con una reacción adversa a las proteínas de la leche de vaca. Acta Pediátrica Española. 2003;5:249–54.
  • ESPGAN. Comment on antigen reduced infant formulae. Acta Paediatr. 1993;82:314–9.
  • Hill DJ, Hosking CS, Heine RG. Clinical spectrum of food allergy in children in Australia and South-East Asia: identification and targets for treatment. Ann Med. 1999 Jan 8;31(4):272–81.
  • Bhatia J, Greer F. Use of soy protein-based formulas in infant feeding. Am Acad Pediatr. 2008;121(5):1062–8.
  • Koletzko B. Nutritional considerations on elimination diets and on substitutes for human milk and cows’ milk based infant formulae. Food Allergy ChildhoodCauses Consequences. 2007;158–68.
  • Setchell KD, Zimmer-Nechemias L, Cai J, Heubi JE. Isoflavone content of infant formulas and the metabolic fate of these phytoestrogens in early life. Am J Clin Nutr. 1998;68(6):1453–61.
  • de Boissieu D, Matarazzo P, Dupont C. Allergy to extensively hydrolyzed cow milk proteins in infants: identification and treatment with an amino acid-based formula. J Pediatr [Internet]. 1997 Nov 1 [cited 2018 Jun 15];131(5):744–7. Available from: http://www.ncbi. nlm.nih.gov/pubmed/9403657
  • Ballabriga A, Moya M, Martín Esteban M, Dalmau J, Doménech E, Bueno M, et al. Recomendaciones sobre el uso de fórmulas para el tratamiento y prevención de las reacciones adversas a proteínas de leche de vaca. An Pediatría [Internet]. 2001 Jan 1 [cited 2018 Jun 15];54(4):372–9
Data source: Dialnet