Not every infant thought to have cow milk allergy (CMA) really does. Elizur et al listed a number of findings which can help to identify an infant who may have been misdiagnosed. The authors. The authors are from Israel.
Patient selection: infant with diagnosis of cow milk allergy
Clinical findings associated with misdiagnosis of cow milk allergy:
(1) The clinical findings ascribed to milk allergy affect a single organ (often the gastrointestinal tract) or are nonspecific.
(2) The onset of findings ascribed to CMA is typically within the first 3 months of life.
(3) The combination of atopic dermatitis (AD) and higher maternal education.
An infant may be labeled with cow milk allergy without confirmatory testing being done. The parents may simply place the infant on diet with cow milk eliminated. Testing may include RAST testing, skin prick testing and oral milk challenge.
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