@article{fdi:010073088,
  title = {{N}utritional management of cow's milk allergy in children : an update},
  author = {{D}upont, {C}. and {C}houraqui, {J}. {P}. and {L}inglart, {A}. and {B}ocquet, {A}. and {D}armaun, {D}. and {F}eillet, {F}. and {F}relut, {M}. {L}. and {G}irardet, {J}. {P}. and {H}ankard, {R}. and {R}oze, {J}. {C}. and {S}imeoni, {U}. and {B}riend, {A}ndr{\'e} and {F}rench {S}oc, {P}ediat},
  editor = {},
  language = {{ENG}},
  abstract = {{C}ow's milk is one of the most common foods responsible for allergic reactions in children. {C}ow's milk allergy ({CMA}) involves immunoglobulin {E} ({I}g{E})- and non-{I}g{E}-mediated reactions, the latter being both variable and nonspecific. {G}uidelines thus emphasize the need for physicians to recognize the specific syndromes of {CMA} and to respect strict diagnostic modalities. {W}hatever the clinical pattern of {CMA}, the mainstay of treatment is the elimination from the diet of cow's milk proteins. {T}he challenge is that both the disease and the elimination diet may result in insufficient height and weight gain and bone mineralization. {I}f, during {CMA}, the mother is not able or willing to breastfeed, the child must be fed a formula adapted to {CMA} dietary management, during infancy and later, if the disease persists. {T}his type of formula must be adequate in terms of allergic efficacy and nutritional safety. {I}n older children, when {CMA} persists, the use of cow's milk baked or heated at a sufficient temperature, frequently tolerated by children with {CMA}, may help alleviate the stringency of the elimination diet. {G}uidance on the implementation of the elimination diet by qualified healthcare professionals is always necessary. {T}his guidance should also include advice to ensure adequate bone growth, especially relating to calcium intake. {S}pecific attention should be given to children presenting with several risk factors for weak bone mineral density, i.e., multiple food allergies, vitamin {D} deficiency, poor sun exposure, steroid use, or severe eczema. {W}hen {CMA} is outgrown, a prolonged elimination diet may negatively impact the quality of the diet over the long term.},
  keywords = {{A}llergy ; {C}ow's milk ; {E}osinophilic esophagitis ; {E}nterocolitis ; {N}utrition ; {B}aked milk ; {EUROPE}},
  booktitle = {},
  journal = {{A}rchives de {P}{\'e}diatrie},
  volume = {25},
  numero = {3},
  pages = {236--243},
  ISSN = {0929-693{X}},
  year = {2018},
  DOI = {10.1016/j.arcped.2018.01.007},
  URL = {https://www.documentation.ird.fr/hor/fdi:010073088},
}