Incidence and natural history of challenge-proven cow's milk allergy in European children - EuroPrevall birth cohort

A. A. Schoemaker, A. B. Sprikkelman, K. E. Grimshaw*, G. Roberts, L. Grabenhenrich, L. Rosenfeld, S. Siegert, R. Dubakiene, O. Rudzeviciene, M. Reche, A. Fiandor, N. G. Papadopoulos, A. Malamitsi-Puchner, A. Fiocchi, L. Dahdah, S. Th Sigurdardottir, M. Clausen, A. Stanczyk-Przyluska, K. Zeman, E. N. C. MillsD. McBride, T. Keil, K. Beyer

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

174 Citaten (Scopus)

Samenvatting

BackgroundCow's milk allergy (CMA) is one of the most commonly reported childhood food problems. Community-based incidence and prevalence estimates vary widely, due to possible misinterpretations of presumed reactions to milk and differences in study design, particularly diagnostic criteria.

MethodsChildren from the EuroPrevall birth cohort in 9 European countries with symptoms possibly related to CMA were invited for clinical evaluation including cows' milk-specific IgE antibodies (IgE), skin prick test (SPT) reactivity and double-blind, placebo-controlled food challenge.

ResultsAcross Europe, 12049 children were enrolled, and 9336 (77.5%) were followed up to 2years of age. CMA was suspected in 358 children and confirmed in 55 resulting in an overall incidence of challenge-proven CMA of 0.54% (95% CI 0.41-0.70). National incidences ranged from 1% (in the Netherlands and UK) to

ConclusionsThis unique pan-European birth cohort study using the gold standard diagnostic procedure for food allergies confirmed challenge-proven CMA in

Originele taal-2English
Pagina's (van-tot)963-972
Aantal pagina's10
TijdschriftAllergy
Volume70
Nummer van het tijdschrift8
DOI's
StatusPublished - aug-2015
Extern gepubliceerdJa

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