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An Pediatr (Barc). 2003 Aug;59(2):138-42.

[Use of goat's milk in patients with cow's milk allergy].

[Article in Spanish]

Author information

  • 1Unidad de Gastroenterología y Nutrición Pediátrica. Clínica Infantil Stauros. Barcelona. España. dinfante@teleline.es

Abstract

BACKGROUND:

Several epidemiological studies estimate that cow's milk allergy affects approximately 3-5 % of infants in industrialized countries. Infant formulae based on soy protein or hydrolysates free of cow's milk protein guarantee adequate nutritional development, although they may be inadequate for older patients.

OBJECTIVE:

To evaluate the possibility of using goat's milk in these patients by investigating possible cross-reactivity between both proteins in vivo and in vitro.

METHODS:

Twelve patients with cow's milk allergy were tested for tolerance to goat's milk protein through radioallergosorbent assay (RAST), specific IgE, skin prick and challenge tests.

RESULTS:

Only 25 % of the patients showed adequate immediate and late oral tolerance and had negative results of immunological tests for adverse reactions.

CONCLUSIONS:

The use of goat's milk cannot be recommended to patients with cow's milk allergy without investigation of possible tolerance by a specialist. For the 25 % of patients that tolerate goat's protein, goat's milk can be a excellent substitute in children older than 2 years old.

Comment in

  • [Goat's milk is not a valid alternative in patients allergic to cow's milk proteins]. [An Pediatr (Barc). 2004]
PMID:
12882742
[PubMed - indexed for MEDLINE]
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