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Breast-fed infants with suspected reactions to cow’s milk: atopic dermatitis, vomiting, diarrhoea, stool blood, GORD, poor growth, infantile colic. Clinical evaluation, family history. Mild symptoms. Moderate-severe smptoms. SPT/specific IgE, stool eosinophils or stool blood.

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Improves ?

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  1. Breast-fed infants with suspected reactions to cow’s milk: atopic dermatitis, vomiting, diarrhoea, stool blood, GORD, poor growth, infantile colic. Clinical evaluation, family history Mild symptoms Moderate-severe smptoms SPT/specific IgE, stool eosinophils or stool blood. Maternal diet without cow’s milk for 2-4 weeks. No diet Improves ? No Yes Free maternal diet Give cow’s milk to the mother for 1 week. Symptoms ? No • When it is necessary, breastfeeding should be supplemented with extensively hydrolyzed formula or soy formula (if > 6 months). • Food challenge test after 6-12 months of avoidance. Yes Exclusion diet Free maternal diet

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