BMJ 2013

Cows’ milk allergy is common, occurring in up to 7% of children and usually presents in infancy
Allergy may be IgE mediated with rapid onset of symptoms such as urticaria or angioedema or non-IgE mediated, producing more delayed symptoms such as eczema, gastro-oesophageal reflux, or diarrhoea
Management is by exclusion of cows’ milk protein from the diet (including from the diet of a breastfeeding mother) under dietetic supervision
Most children with milk allergy outgrow it (average age 5 years for IgE mediated and majority by age 3 years for uncomplicated non-IgE mediated allergy)

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