Diagnosis and management of non-IgE-mediated cow's milk allergy in infancy—a UK primary care practical guide
Venter, Brown, Shah, Walsh and Fox
Cow’s milk allergy (CMA) can present with a spectrum of acute or delayed symptoms that can be mild to moderate or severe in nature. Symptoms may affect the respiratory, cutaneous, and gastrointestinal systems, or a combination of these systems. Diagnosis and management of non-IgE-mediated CMA can take place in primary care; however all infants on a cow's milk exclusion diet should ideally be referred to a dietitian, preferably before weaning onto solid food takes place.
This Guidelines summary covers the different presentations of CMA in infancy, and the diagnosis and management of mild to moderate non-IgE CMA, and when to refer to secondary care.