Navegando por Palavras-chave "Alergia a leite"

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    Conhecimento e prática de pediatras e nutricionistas sobre o tratamento da alergia às proteínas do leite de vaca no lactente
    (Universidade Federal de São Paulo (UNIFESP), 2017-03-31) Faria, Dayane Pedra Batista de [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Speridião, Patrícia da Graça Leite; Cortez, Ana Paula Bidutte; http://lattes.cnpq.br/7520873457028761; http://lattes.cnpq.br/9278345593239515; http://lattes.cnpq.br/5056114729141952; http://lattes.cnpq.br/1570443616379121; http://lattes.cnpq.br/1570443616379121; Universidade Federal de São Paulo (UNIFESP)
    Objective: Evaluate the knowledge and practice of pediatricians and nutritionists regarding cow's milk allergy (APLV) in infants, with emphasis on issues related to exclusion diet and nutritional status. Methods: Cross-sectional, descriptive study that enrolled convenience sample of 204 pediatricians and 202 nutritionists. Participants were randomly invited to 5 scientific events held in the city of São Paulo, from 2014 to 2016. Data was collected through structured and self-administered form. Results: Daily calcium recommendation for children up to 36 months of age was correctly indicated by 27.0% of pediatricians and 46.0% of nutritionists (p=0.001). Products not suitable as cow's milk substitutes were recommended by 1.5% and 21.0% of respondents. However, the reading of labels of industrialized products, 96.1% of pediatricians and 82.7% of nutritionists (p <0.001) instructed parents to read the terms that indicate the presence of milk in the food. Regarding the expressions/ingredients that should be excluded from the APLV patient's diet, it was observed that the professionals reported respectively: lactoalbumin 74.0% and 46.5% (p<0.001), casein 81.4% and 62, (P<0.001), caseinate 62.3% and 50.0% (p=0.169), milk compound 79.9% and 49.0% (p <0.001), serum proteins 71.1% and 62 , 9% (p = 0.098) and milk yeast 58.8% and 35.1% (p <0.001). Conclusions: results suggest that pediatricians and nutritionists present gaps in knowledge about the treatment of APLV in infants. Educational strategies that increase the knowledge of these professionals are important for the adequate management of APLV.
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    Eosinophilic colitis in infants
    (Sociedade Brasileira de Pediatria, 2014-01-01) Lozinsky, Adriana Chebar [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE:To review the literature for clinical data on infants with allergic or eosinophilic colitis.DATA SOURCE:MEDLINE search of all indexes was performed using the words ''colitis or procto-colitis and eosinophilic'' or ''colitis or proctocolitis and allergic'' between 1966 and February of 2013. All articles that described patients' characteristics were selected.DATA SYNTHESIS:A total of 770 articles were identified, of which 32 met the inclusion criteria. The 32 articles included a total of 314 infants. According to the available information, 61.6% of infants were male and 78.6% were younger than 6 months. Of the 314 patients, 49.0% were fed exclusively breast milk, 44.2% received cow's milk protein, and 6.8% received soy protein. Diarrheal stools were described in 28.3% of patients. Eosinophilia was found in 43.8% (115/263) of infants. Colonic or rectal biopsy showed infiltration by eosinophils (between 5 and 25 perhigh-power field) in 89.3% (236/264) of patients. Most patients showed improvement with theremoval of the protein in cow's milk from their diet or the mother's diet. Allergy challenge tests with cow's milk protein were cited by 12 of the 32 articles (66 patients).CONCLUSIONS:Eosinophilic colitis occurs predominantly in the first six months of life and in males. Allergy to cow's milk was considered the main cause of eosinophilic colitis. Exclusion of cow'smilk from the diet of the lactating mother or from the infant's diet is generally an effective therapeutic measure.
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    Teste de desencadeamento aberto no diagnóstico de alergia à proteína do leite de vaca
    (Sociedade Brasileira de Pediatria, 2010-04-01) Correa, Fernanda Ferreira [UNIFESP]; Vieira, Mário César; Yamamoto, Danielle Reis; Speridião, Patrícia da Graça Leite [UNIFESP]; Morais, Mauro Batista de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hospital Pequeno Príncipe Centro de Gastroenterologia Pediátrica
    OBJECTIVES: To report the results of open challenge tests performed in children fed with cow's milk-free diet. DESCRIPTIONS: Cross-sectional study evaluating cow's milk open challenge performed under supervision in a hospital setting during 2.5 hours and ambulatory follow-up for 30 days when no immediate reaction occurred. One hundred and twenty-one patients were included, with ages between 4 and 95 months. Cow's milk open challenge tests were positive in 28 patients (23.1%). A clinical manifestation of cow's milk allergy different from the one presented at diagnosis occurred in 12 (24.9%) patients with positive challenge. Positive challenge was more frequent (p = 0.042) in patients fed with extensively hydrolyzed formulae or amino acid-based formulae (30.3%) when compared to those fed with other exclusion diets (14.5%). CONCLUSION: Open challenge allowed the interruption of exclusion diet in a significant proportion of the patients.