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Cow's
milk allergy
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Cow's milk allergy
is not a rare disease, usually occurs in the first
six months of life. The incidence in Thailand is
not exactly known. There are many presenting
symptoms, so the disease is mostly under
diagnosed. The diagnosis can be made by the
history of atrophy and clinical syndromes with
improvement upon sensation of cow's milk intake
and recurrence with repeated challenges, 2/3
times. Laboratory testing are only supportive.
Avoidance of cow's milk and cow's milk products is
the best treatment, and substituted with breast
milk, soy bean, meat base and casein hydrolysate
formula. Sole breast feeding especially in the
first four weeks of life may prevent the risk of
cow's milk allergy. The prognosis is good if
treated properly. Most of the children lose their
allergy after 4 years of age.
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