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 Stańczyk-Przyłuska, K Zeman, E N C MillsD McBride, T Keil, K Beyer

    Research output: Contribution to journalArticlepeer-review

    Abstract

    BACKGROUND: Cow'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. METHODS: Children 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. RESULTS: Across Europe, 12 049 children were enrolled, and 9336 (77.5%) were followed up to 2 years 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
    Original languageEnglish
    JournalAllergy
    Volume70
    Issue number8
    DOIs
    Publication statusPublished - Aug 2015

    Keywords

    • EuroPrevall
    • birth cohort study
    • cow's milk allergy
    • food allergy
    • incidence

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