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Symptoms and manage...
Symptoms and management of cow's milk allergy : perception and evidence
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- Robert, E. (författare)
- UZ Brussel, KidZ Health Castle, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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- Al-Hashmi, H.A. (författare)
- Pediatric Department, King Abdulaziz Hospital, Jeddah, Saudi Arabia
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- Al-Mehaidib, A. (författare)
- Department of Pediatrics, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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- Alsarraf, K. (författare)
- Department of Pediatric Gastroenterology and Hepatology, Al Amiri Hospital (MOH), Kuwait City, Kuwait; Department of Pediatric Gastroenterology and Hepatology, Dar Al Shefaa Hospital (PVT), Hawally, Kuwait
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- Al-Turaiki, M. (författare)
- Department of Pediatrics, King Salman Hospital, Riyadh, Saudi Arabia
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- Aldekhail, W. (författare)
- Section of Gastroenterology and Hepatology, Department of Pediatrics, King Faisal Specialist Hospital and 12 Research Centre, Riyadh, Saudi Arabia
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- Al-Herz, W. (författare)
- Department of Pediatrics, College of Medicine, Kuwait University, Kuwait City, Kuwait
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- Alkhabaz, A. (författare)
- Department of Pediatrics, Allergist & Clinical Immunology, Mubarak AlKabeer Hospital, Jabriya, Kuwait
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- Bawakid, Khalid O. (författare)
- Department of Pediatrics, MCH Hospital Jeddah, Jeddah, Saudi Arabia
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- Elghoudi, A. (författare)
- Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates; CMHS, UAE University, Abu Dhabi, United Arab Emirates
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- El Hodhod, M. (författare)
- Faculty of Medicine, Ain Shams University, Cairo, Egypt
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- Hussain, Ali A. (författare)
- Department of Pediatrics, Al Adan and Al Salam International Hospitals, Kuwait City, Kuwait
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- Kamal, Naglaa M. (författare)
- Department of Pediatrics & Pediatric Hepatology, Kasr Alainy Faculty of Medicine, Cairo University, Cairo, Egypt
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- Goronfolah, L.T. (författare)
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
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- Nasrallah, B. (författare)
- Department of Pediatrics, American Hospital Dubai, Dubai, United Arab Emirates
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- Sengupta, K. (författare)
- Department of Pediatrics, NMC Specialty Hospital, Dubai, United Arab Emirates
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- Broekaert, I. (författare)
- Department of Pediatrics, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
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- Domellöf, Magnus, 1963- (författare)
- Umeå universitet,Pediatrik
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- Indrio, F. (författare)
- Department of Pediatric, University of Salento, Lecce, Italy
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- Lapillonne, A. (författare)
- Neonatal Intensive Care Unit, Necker-EnfantsMalades Hospital, Paris University, Paris, France; CNRC, Department of Pediatrics, Baylor College of Medicine, TX, Houston, United States
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- Pienar, C. (författare)
- Department of Pediatrics, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
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- Ribes-Koninckx, C. (författare)
- Coeliac Disease and Gastrointestinal Immunopathology Research Unit, Hospital La Fe Research Institute Valencia, Valencia, Spain
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- Shamir, R. (författare)
- Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children’s Medical Center, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
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- Szajewska, H. (författare)
- Department of Pediatrics, The Medical University of Warsaw, Warsaw, Poland
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- Thapar, N. (författare)
- Department of Gastroenterology, Hepatology and Liver Transplant, Queensland Children's Hospital, QLD, Brisbane, Australia; School of Medicine, University of Queensland, QLD, Brisbane, Australia; Woolworths Centre for Child Nutrition Research, Queensland University of Technology, QLD, Brisbane, Australia; Department of Pediatrics, UCL Great Ormond Street Institute of Child Health, London, United Kingdom
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- Thomassen, R.A. (författare)
- Division of Pediatric and Adolescent Medicine, Department of Pediatric Medicine, Oslo University Hospital, Oslo, Norway
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- Verduci, E. (författare)
- Department of Pediatrics, Vittore Buzzi Children's Hospital University of Milan, Milan, Italy
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- West, Christina E. (författare)
- Umeå universitet,Pediatrik
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- Vandenplas, Y. (författare)
- UZ Brussel, KidZ Health Castle, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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(creator_code:org_t)
- Frontiers Media S.A. 2024
- 2024
- Engelska.
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Ingår i: Frontiers in Allergy. - : Frontiers Media S.A.. - 2673-6101. ; 5
- Relaterad länk:
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https://doi.org/10.3...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Introduction: The diagnosis and management of cow's milk allergy (CMA) is a topic of debate and controversy. Our aim was to compare the opinions of expert groups from the Middle East (n = 14) and the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) (n = 13).Methods: These Expert groups voted on statements that were developed by the ESPGHAN group and published in a recent position paper. The voting outcome was compared.Results: Overall, there was consensus amongst both groups of experts. Experts agreed that symptoms of crying, irritability and colic, as single manifestation, are not suggestive of CMA. They agreed that amino-acid based formula (AAF) should be reserved for severe cases (e.g., malnutrition and anaphylaxis) and that there is insufficient evidence to recommend a step-down approach. There was no unanimous consensus on the statement that a cow's milk based extensively hydrolysed formula (eHF) should be the first choice as a diagnostic elimination diet in mild/moderate cases. Although the statements regarding the role for hydrolysed rice formula as a diagnostic and therapeutic elimination diet were accepted, 3/27 disagreed. The votes regarding soy formula highlight the differences in opinion in the role of soy protein in CMA dietary treatment. Generally, soy-based formula is seldom available in the Middle-East region. All ESPGHAN experts agreed that there is insufficient evidence that the addition of probiotics, prebiotics and synbiotics increase the efficacy of elimination diets regarding CMA symptoms (despite other benefits such as decrease of infections and antibiotic intake), whereas 3/14 of the Middle East group thought there was sufficient evidence.Discussion: Differences in voting are related to geographical, cultural and other conditions, such as cost and availability. This emphasizes the need to develop region-specific guidelines considering social and cultural conditions, and to perform further research in this area.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- amino acid formula
- cow's milk allergy
- extensively hydrolysed formula
- hydrolysed rice formula
- prebiotic
- probiotic
- soy formula
- synbiotic
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- Av författaren/redakt...
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Robert, E.
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Al-Hashmi, H.A.
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Al-Mehaidib, A.
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Alsarraf, K.
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Al-Turaiki, M.
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Aldekhail, W.
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visa fler...
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Al-Herz, W.
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Alkhabaz, A.
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Bawakid, Khalid ...
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Elghoudi, A.
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El Hodhod, M.
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Hussain, Ali A.
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Kamal, Naglaa M.
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Goronfolah, L.T.
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Nasrallah, B.
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Sengupta, K.
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Broekaert, I.
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Domellöf, Magnus ...
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Indrio, F.
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Lapillonne, A.
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Pienar, C.
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Ribes-Koninckx, ...
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Shamir, R.
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Szajewska, H.
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Thapar, N.
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Thomassen, R.A.
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Verduci, E.
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West, Christina ...
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Vandenplas, Y.
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