Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Cow’s milk protein allergy arising in infancy has two mechanisms
Tuesday 26 September 2017, 12:59 PM
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Wheal (arrowed) produced in 10 minutes in a six-week-old baby with cow's milk allergy using fresh milk for skin-prick testing
IgE-mediated milk protein allergy is likely to be easy to diagnose, but the delayed symptoms of non IgE-mediated milk allergy are harder to diagnose and to manage. This update on milk allergy also dispels some misconceptions around “lactose intolerance” in babies
By Thorsten Stanley
Allergic diseases, including food allergies, are becoming increasing significant globally.1 Family doctors need to have a good, Panel 1
References
1. Koletzko S, Niggeman B, Arato A et al. Diagnostic approach and management of cow’s milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr 2012 Aug;55(2):221–29.
2. Vandenplas Y. Prevention and management of cow’s milk allergy in non-exclusively breastfed infants. Nutrients. July 2017;9(7);731. doi:10.3390/nu9070731 [Free access].