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Allergy to Cow's Milk

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The practical diagnosis of allergy to cow's milk in the majority of cases is, in our opinion, best carried out by eliminating milk from the diet followed by a planned, carefully observed challenge and then a second elimination diet. When the patient is first seen while symptomatic and ingesting cow's milk, he is undergoing his first dietary challenge. When cow's milk is eliminated from his diet, this is both his first diagnostic test and his first therapeutic trial. If this presumptive test is positive, the diagnosis is confirmed by the planned challenge plus the subsequent clearing when milk is once again removed from the diet. Evidence of an unusual immunological response to cow's milk protein is a prerequisite to making a firm diagnosis of allergy. Laboratory measurements of observable phenomena permit the diagnosis to be made with much greater certainty than do subjective evaluations of symptoms.

Lactose intolerance is subdivided into 3 major categories: congenital lactose intolerance, late onset lactose intolerance and secondary lactose deficiency. The clinical and diagnostic criteria of each category are outlined.

Treatment of allergy to cow's milk and lactose intolerance is dicussed.
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Document Type: Research Article

Publication date: September 1, 1981

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma and by having the potential to directly impact the quality of patient care. AAP welcomes the submission of original works including peer-reviewed original research and clinical trial results. Additionally, as the official journal of the Eastern Allergy Conference (EAC), AAP will publish content from EAC poster sessions as well as review articles derived from EAC lectures.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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