Vandenplas Yvan, Dupont Christophe, Eigenmann Philippe, Host Arne, Kuitunen Mikael, Ribes-Koninckx Carmen, Shah Neil, Shamir Raanan, Staiano Annamaria, Szajewska Hania, Von Berg Andrea
UZ Brussel, Free University of Brussels, Brussels, Belgium.
Acta Paediatr. 2015 Apr;104(4):334-9. doi: 10.1111/apa.12902. Epub 2015 Jan 29.
Clinicians with expertise in managing children with gastrointestinal problems and/or atopic diseases attended a workshop in Brussels in September 2014 to review the literature and determine whether a clinical score derived from symptoms associated with the ingestion of cow's milk proteins could help primary healthcare providers. The Cow's Milk-related Symptom Score (CoMiSS), which considers general manifestations, dermatological, gastrointestinal and respiratory symptoms, was developed as an awareness tool for cow's milk-related symptoms. It can also be used to evaluate and quantify the evolution of symptoms during therapeutic interventions, but does not diagnose cow's milk protein allergy and does not replace a food challenge. Its usefulness needs to be evaluated by a prospective randomised study.
The CoMiSS provides primary healthcare clinicians with a simple, fast and easy-to-use awareness tool for cow's milk-related symptoms.
2014年9月,擅长诊治儿童胃肠道问题和/或特应性疾病的临床医生参加了在布鲁塞尔举办的研讨会,以回顾文献并确定源自与摄入牛奶蛋白相关症状的临床评分是否有助于初级医疗保健提供者。牛奶相关症状评分(CoMiSS)考虑了一般表现、皮肤、胃肠道和呼吸道症状,它被开发为一种针对牛奶相关症状的认知工具。它还可用于评估和量化治疗干预期间症状的演变,但不能诊断牛奶蛋白过敏,也不能替代食物激发试验。其有效性需要通过前瞻性随机研究进行评估。
CoMiSS为初级医疗保健临床医生提供了一种简单、快速且易于使用的针对牛奶相关症状的认知工具。