Cow's Milk Protein Allergy ( CMPA ) : Milk Ladder

Cow's Milk Protein Allergy (CMPA) is a common food allergy among infants and young children, manifesting in both IgE-mediated and non-IgE-mediated forms. The management of non-IgE mediated CMPA involves the avoidance of cow's milk protein and, eventually, a carefully monitored reintroduction plan known as the Milk Ladder. This process is particularly tailored for babies and children exhibiting non-IgE mediated reactions to cow's milk protein, such as colic, reflux, blood in stools, or diarrhoea.

Key Points of the Dairy Re-introduction Plan - Milk Ladder:

• Target Audience: The Milk Ladder is designed for babies and children with non-IgE mediated cow's milk allergy. Those with IgE mediated reactions require specialist review due to the potential for severe allergic reactions.
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• Purpose: The ladder aims to gradually reintroduce cow's milk into the child's diet, leveraging the principle that well-cooked or processed milk proteins are generally less allergenic than their raw counterparts.
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• Process: Reintroduction starts with foods containing highly processed milk protein and progressively moves to foods with less processed forms of milk protein. This stepwise approach allows for careful monitoring of any adverse reactions at each stage.
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• Scientific Rationale: Research indicates that baking or extensive cooking alters the allergenic properties of milk proteins, making them...