2026-04-13T05:57:36Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/98042025-10-24T10:25:18Zcom_2072_378070com_2072_378040col_2072_378092
RECERCAT
author
Ribes-Koninckx, Carmen
author
Dias, Jorge
author
Espin, Beatriz
author
Molina Arias, Manuel
author
Segarra, Oscar
author
DIAZ MARTIN, JUAN JOSE
2025-10-24T10:25:18Z
2025-10-24T10:25:18Z
2023-06-20T06:53:15Z2023-06-20T06:53:15Z2023-03-22
http://hdl.handle.net/11351/9804
Amino acid formula; Cow’s milk allergy; Infant formulaFórmula d'aminoàcids; Al·lèrgia a la llet de vaca; Fórmula infantilFórmula de aminoácidos; Alergia a la leche de vaca; Fórmula infantilOne of the most common food allergies in children is cow’s milk allergy (CMA). In breast-fed infants with CMA, the mother is encouraged to avoid dairy products. If this is not possible, or in formula fed infants, use of hypoallergenic replacement formulas such as extensively hydrolyzed formulas (EHF) is recommended. However, in ∼5% of patients EHFs are not tolerated and/or allergy symptoms can persist. When EHFs are ineffective and in severe forms of CMA, amino acid-based formulas (AAF) should be considered. Six pediatric gastroenterologists with extensive experience in food allergy management reviewed scientific publications and international clinical practice guidelines to provide practical recommendations on AAF. The guidelines reviewed had discrepancies and ambiguities around the specific indications for using formulas as a milk substitute. The panel recommends AAFs as the first therapeutic option in anaphylaxis due to CMA, in acute and chronic severe food protein-induced enterocolitis syndrome, in CMA associated with multiple food allergy, and in cases of eosinophilic esophagitis not responding to an extended exclusion diet or not eating solids. The main benefit of AAF is its absence of residual allergenicity, making it a safe treatment option in severe CMA patients who do not tolerate or respond to an EHF.This research was funded by Nutricia to support the face-to-face and online meetings.
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
Al·lèrgia alimentària
Proteïnes de la llet
Llet maternitzada
Aminoàcids en la nutrició
DISEASES::Immune System Diseases::Hypersensitivity::Hypersensitivity, Immediate::Food Hypersensitivity::Milk Hypersensitivity
PHENOMENA AND PROCESSES::Physiological Phenomena::Diet, Food, and Nutrition::Beverages::Milk Substitutes::Infant Formula
CHEMICALS AND DRUGS::Amino Acids, Peptides, and Proteins::Amino Acids
Other subheadings::Other subheadings::Other subheadings::/administration & dosage
ENFERMEDADES::enfermedades del sistema inmune::hipersensibilidad::hipersensibilidad inmediata::hipersensibilidad a los alimentos::hipersensibilidad a la leche
FENÓMENOS Y PROCESOS::fenómenos fisiológicos::dieta, alimentación y nutrición::bebidas::sustitutivos de la leche::fórmulas infantiles
Otros calificadores::Otros calificadores::Otros calificadores::/administración & dosificación
COMPUESTOS QUÍMICOS Y DROGAS::aminoácidos, péptidos y proteínas::aminoácidos
The use of amino acid formulas in pediatric patients with allergy to cow’s milk proteins: Recommendations from a group of experts
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion