Cow's milk allergy

Date Published: 
Wednesday, April 7, 2021

In this episode Dr Annaliesse Blincoe discusses cow’s milk allergies, and their spectrum of presentations.



  • 0:57 Definitions
  • 02:26 Aeitiology
  • 04:45 How common is cow's milk allergy?
  • 07:13 Is it more common in certain ethnic groups?
  • 08:21 How do infants present when CMPA is present?
  • 14:45 Define fpies (food protein induced enterocolitis syndrome)
  • 15:24 When examining a child what do we specifically look for?
  • 16:55 Do we need to order any investigations? If so what and when?
  • 24:05 What are the differentials we need to exclude?
  • 26:49 Can a diagnosis of CMPA be made in primary care?
  • 28:10 Red Flags
  • 32:35 Treatment options and management
  • 40:53 Take home messages

Take-home messages

  • CMA is common.
  • History is crucial to differentiate between IgE and non- IgE mediated CMPA.
  • Only test for foods that a child has reacted to. Never test for a food a child has tolerated.
  • Ensure families have up to date action plans



Managing cows' milk protein allergy in infants bpacnz (2019)
Cow's Milk (Dairy) Allergy ascia (Australasian society of clinical immunology and allergy)
Cow's milk allergy in infants Goodfellow Unit eLearning course (2020)



Dr Annaliesse Blincoe

Annaliesse works as a Paediatric Immunologist and Allergist at Starship Children’s Hospital and in private practice at Kids Immuno, 188 Specialist Centre In St heleiers, Auckland.
Annaliesse holds particular interests in paediatric allergy, primary immune deficiency and further disorders of the immune system.



This eLearning is sponsored with an unrestricted educational grant from Nutricia.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.