Assessment of cows milk‐related symptom scoring awareness tool in young Turkish children
| Autor: | Nisa Eda Cullas Ilarslan, Betül Ulukol, Zarife Kuloğlu, Neslihan Doğulu, Aydan Kansu, Suna Selbuz, Ceyda Tuna Kırsaçlıoğlu, Seda Topçu, Cansu Altuntaş, Fatih Gunay |
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| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Allergy Primary care 03 medical and health sciences 0302 clinical medicine Recurrence 030225 pediatrics Elimination diet medicine Animals Humans Eosinophilia 030212 general & internal medicine Family history Child Milk protein business.industry Infant Atopic dermatitis Allergens Immunoglobulin E Milk Proteins medicine.disease Milk Pediatrics Perinatology and Child Health Cattle Female Milk Hypersensitivity medicine.symptom business Symptom score |
| Zdroj: | Journal of Paediatrics and Child Health. 56:1799-1805 |
| ISSN: | 1440-1754 1034-4810 |
| DOI: | 10.1111/jpc.14921 |
| Popis: | BACKGROUND The diagnosis of cows milk protein allergy (CMPA) is not always easy. Cow's Milk-related Symptom Score (CoMiSS) has been developed to raise the awareness of CMPA among the primary health-care providers. In this study, we aimed to evaluate the validity of CoMiSS as a diagnostic approach of CMPA in infants in our country. METHODS Infants with a CoMiSS of more than 12 points were included. An elimination diet was implemented in these infants for 4 weeks, and CoMiSS was reapplied. Infants with a reduction of ≥3 points in CoMiSS were considered responsive to the elimination diet, and an open oral challenge test was performed. Infants with symptom recurrence were diagnosed with CMPA. RESULTS The study included 168 infants. When they were included in the study, the first CoMiSS score was 13.6 ± 1.9. After the elimination diet, the number of responsive infants was 154 (91.7%). Of the infants, 91 (54.2%) were diagnosed with CMPA with positive challenge. The majority of the patients diagnosed with CMPA presented with gastrointestinal and/or dermatological symptoms (80.3%). Positive family history of allergy was more prevalent in CMPA(+) infants (P |
| Databáze: | OpenAIRE |
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