Cow's Milk Allergy

Cow's Milk Allergy (CMA), also known as Cow's Milk Protein Allergy (CMPA), is one of the most common food allergies presenting in infancy. CMA occurs when the immune system reacts inappropriately to a protein in cow's milk. The allergic response can affect multiple systems and present with symptoms including gastrointestinal, respiratory and skin, and can be difficult to identify and accurately diagnose.

Learn more about the appropriate diagnosis and management of CMA below.

Clinical Resources & References

Booklet

The Feed: Managing cow's milk allergy (CMA) in infants

Explore the intricacies of Cow’s Milk Allergy (CMA) in early childhood with this issue of The Feed magazine. Authored by experts in the field, this edition delves into the burden of CMA, emphasizing a healthcare professional's crucial role in balancing symptom management with long-term outcomes.

Webinar

Hints and tips on the diagnosis of CMA

Cow's milk allergy is one of the most common and complex presentations of early childhood. In this talk Dr Carina Venter discusses the diagnosis both IgE and non IgE CMA providing practical information to support their diagnosis.

Webinar

When should AAF be used - a practical guide

This webinar will discuss cow's milk allergy management guidelines and conditions that warrant the use of an amino acid based formula, whilst presenting practical case studies.

Webinar

How to differentiate between cow's milk allergy and functional gastrointestinal disorders

This webinar shares valuable knowledge on differentiating between FGIDs and CMA and discusses the tools to accurately diagnose and effectively manage these conditions. Expand your understanding of the nuances between these disorders and enhance your ability to provide optimal care. 

Practice Tool

Hypoallergenic Formulas for Infants and Children: When to Use Extensively Hydrolyzed Formula (eHF) vs. Amino Acid-Based Formula (AAF)

Learn when to use Extensively Hydrolyzed Formula (eHF) vs. Amino Acid-Based Formula (AAF) for the dietary management of Cow's Milk Allergy.

Support Tool

Recognising CMA Symptom Tool

Recognising common symptoms and following relevant Cow's Milk Allergy guidelines, can support a timely diagnosis and appropriate management. Use this Support tool to recognise symptoms and properly manage Cow's Milk Allergy.

Practice Guidelines

Guidelines

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines

Cow's milk allergy (CMA) is the most complex and common food allergy in infants. Elimination of cow's milk from the diet and replacement with a specialized formula for infants with cow's milk allergy who cannot be breastfed is an established approach to minimize the risk of severe allergic reactions while avoiding nutritional deficiencies. 

Guidelines

ESPGHAN position paper on the diagnosis, management and prevention of cow's milk allergy

A previous guideline on cow's milk allergy (CMA) developed by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) was published in 2012. This position paper provides an update on the diagnosis, treatment, and prevention of CMA with focus on gastrointestinal manifestations.

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