To the Editor: Australian consensus guidelines for selecting formulas for infants with cows milk protein allergy (CMPA) have recently been published.1 We reviewed formula choices and outcomes for 51 children with immediate allergic reactions to cows milk protein who were referred to one of us (S S M) in a tertiary specialist clinic over a 2-year period before the guidelines were published. The formula was selected by the referring specialist medical practitioner in 44 cases (and by S S M in the other seven).
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- 1. Kemp AS, Hill DJ, Allen KJ, et al. Guidelines for the use of infant formulas to treat cows milk protein allergy: an Australian consensus panel opinion. Med J Aust 2008; 188: 109-112. <MJA full text>
- 2. Klemola T, Vanto T, Juntunen-Backman K, et al. Allergy to soy formula and to extensively hydrolyzed whey formula in infants with cow’s milk allergy: a prospective, randomized study with a follow-up to the age of 2 years. J Pediatr 2002; 140: 219-224.
- 3. Caffarelli C, Plebani A, Poiesi C, et al. Determination of allergenicity to three cow’s milk hydrolysates and an amino acid-derived formula in children with cow’s milk allergy. Clin Exp Allergy 2002; 32: 74-79.
- 4. Sampson HA, Bernhisel-Broadbent J. Cow milk protein hydrolysate infant formulas not always “hypoallergenic”. J Pediatr 1991; 119: 840.
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Andrew Kemp has received a speaker fee for a clinical updates meeting sponsored by Nutricia, and has participated in consensus panel conferences sponsored by Nutricia to develop a position statement on the treatment of CMPA. His department has held a clinical update meeting sponsored by Abbott.