Hi, this is Tom, and in this episode I'm going to be going through

cow's milk protein allergy. And you can find notes at zero to finals.com and in the zero

to finals pediatrics book. And you can find flashcards and questions at members.0.0.0.com.

So let's jump straight in.

Cow's milk protein allergy typically presents in the first year of life.

It involves hypersensitivity to protein in cow's milk, which can be either IGE-e-mediated

with rapid reactions to cows milk occurring within

two hours of ingestion, or non-IGEE mediated, with reactions that occur more slowly

over hours to days after ingestion.

Cows milk protein allergy is not the same as lactose intolerance.

Lactose intolerance is not an allergic process.

Cows milk protein allergy is more common in formula-fed babies

and those with a personal or family history of other atopic conditions like

eczema and asthma. Let's talk about the presentation. Cows milk protein allergy usually presents

before one year of age. It may become apparent when weaned from breast milk to formula

or to foods containing milk.

It can present in breastfed babies when the mother is consuming dairy.

Symptoms and severity vary significantly among individuals.

Gastrointestinal symptoms may include bloating and wind, colicky abdominal pain, diarrhea and vomiting.

Skin symptoms may include angioidema with swelling to the face, lips or tongue,

an urticarial rash, or hives, exczema, and pruritus, or itching of the skin.

Respiratory symptoms, which are mainly seen in IgE-mediated allergy,

...