Sekkidou Mikaela, Muhardi Leilani, Constantinou Constantina, Kudla Urszula, Vandenplas Yvan, Nicolaou Nicolaos
N Asthma and Allergy Center, Limassol, Cyprus.
Friesland Campina AMEA, Singapore, Singapore.
Front Allergy. 2021 Jun 11;2:676075. doi: 10.3389/falgy.2021.676075. eCollection 2021.
The majority of mixed-fed infants with non-IgE-mediated cow's milk protein allergy (CMPA) enteropathies are managed with an extensively hydrolysed cow's milk based infant formula (eHF). Given the high variability in peptide distribution of available eHFs, it is important to understand the suitability of a specific product in the management of distinct phenotypes. To assess the symptom resolution of various phenotypes of clinical manifestations of CMPA enteropathies and constipation managed by a casein-based eHF. The data of 20 full-term infants ( = 15 with non-IgE-mediated CMPA and = 5 with constipation) attending a paediatric allergy clinic in Cyprus and managed with a casein-based eHF were retrospectively analysed. Based on the clinical symptoms and history, infants were classified into the following phenotypes: (a) 11/15 (73.3%) FPIAP, (b) 3/15 (20%) FPIES, and (c) 1/15 (6.7%) severe diarrhoea. Overall, 14 (93.3%) patients were successfully managed with the casein-based eHF and 1 (6.7%) required an AAF. This formula was effective in 91% of patients with FPIAP, in 100% with FPIES and with diarrhoea. Three (60%) patients with constipation responded to the eHF. This case-series report supports the efficacy of a particular casein-based eHF for the nutritional management of non-IgE mediated CMPA enteropathies.
大多数患有非IgE介导的牛奶蛋白过敏(CMPA)肠病的混合喂养婴儿采用以深度水解牛奶为基础的婴儿配方奶粉(eHF)进行管理。鉴于现有eHFs肽分布的高度变异性,了解特定产品对不同表型管理的适用性很重要。为了评估由酪蛋白基eHF管理的CMPA肠病和便秘各种临床表现表型的症状缓解情况。对塞浦路斯一家儿科过敏诊所收治的20名足月婴儿(15名患有非IgE介导的CMPA,5名患有便秘)的数据进行回顾性分析,这些婴儿采用酪蛋白基eHF进行管理。根据临床症状和病史,婴儿被分为以下表型:(a)11/15(73.3%)食物蛋白诱导的小肠结肠炎(FPIAP),(b)3/15(20%)食物蛋白诱导的小肠过敏反应(FPIES),以及(c)1/15(6.7%)严重腹泻。总体而言,14名(93.3%)患者使用酪蛋白基eHF成功得到管理,1名(6.7%)需要氨基酸配方奶粉(AAF)。该配方奶粉对91%的FPIAP患者、100%的FPIES患者和腹泻患者有效。三名(60%)便秘患者对eHF有反应。本病例系列报告支持特定酪蛋白基eHF对非IgE介导的CMPA肠病营养管理的有效性。
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