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Nutrients2015; 7(3); 2015-2025; doi: 10.3390/nu7032015

The controversial role of food allergy in infantile colic: evidence and clinical management.

Abstract: Food allergies (FAs) are an increasing problem in Western countries, affecting up to 10% of young children. FAs are frequently associated with gastrointestinal manifestations. The role of FAs as a potential causative factor for infantile colic (IC) is still controversial. We report the most recent evidence on the pathogenesis, clinical and diagnostic aspects of FA-induced infantile colic (IC) and suggest a stepwise diagnostic approach. We selected articles on clinical and immunologic features, pathogenesis and management of FAs and IC from of 1981 to 2015. Original and review articles were identified through selective searches performed on PubMed, using the following terms: colic, infantile colic, food allergy and infantile colic, infantile colic treatment. The possible relationship between FAs and IC derives from the presence of dysmotility with visceral hypersensitivity and dysbiosis, demonstrated in both conditions, and the clinical response to dietary interventions. Unfortunately, the design of the studies, poor characterization of atopy and different dietary approaches limit the understanding of the importance of FAs in subjects with IC. The role of FAs in IC subjects without other symptoms of atopy remains controversial. However, where there is a suspicion of FAs, a short trial with an extensively hydrolyzed cow's proteins formula or, if breast fed, with maternal elimination diet may be considered a reasonable option.
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Publication Date: 2015-03-19 PubMed ID: 25808260PubMed Central: PMC4377897DOI: 10.3390/nu7032015Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article reviews recent advancements in understanding allergies to mammalian milk proteins that are not related to Cow’s Milk Allergy (CMA). It delves into the study of selective allergies from milk derived from mammals other than cows, such as goats, sheep, buffalos, camels, and donkeys.

Understanding Selective Allergies to Mammalian Milk Proteins

  • The study examines allergies from types of milk that come from mammals like sheep, buffalo, and goats. These types of milk fall under mammalian milk and their consumption can cause allergic reactions in some people because the milk proteins in these animals are fairly similar to cow’s milk proteins. This is known as clinical cross-reactivity.
  • In contrast, milk from camels, mares, or donkeys has been found to be occasionally tolerated by individuals who are otherwise allergic to milk proteins. This suggests that the composition of proteins found in the milk of these animals may differ from that in the milk of the other mentioned animals.

Signs and Symptoms of Selective Mammalian Milk Allergies

  • Persons affected by selective mammalian milk allergies may experience severe symptoms, which include respiratory issues, urticaria (hives), anaphylaxis (a severe, potentially life-threatening allergic reaction), and angio-oedema (swelling beneath the skin, often in the lips and eyes).
  • These allergies are considered rare and are characterized by their severe manifestation of symptoms.

Common Sources and Major Allergens

  • Cheese products, including Ricotta, Romano, Pecorino, and Mozzarella, have been associated as a common source of allergens in people with allergies to goat’s, sheep’s and buffalo’s milk. This suggests a need for individuals with these specific allergies to be cautious when consuming these types of cheese.
  • Milk from mares, camels, or donkeys has different major allergens including whey proteins like lysozyme, α-lactalbumin, and β-lactoglobulin. This is due to the lower casein/whey protein ratio found in these types of milk.

The research aims to broaden knowledge about these selective allergies and reduce risks among individuals with these allergies by making people more aware of the potential allergens present in different types of mammalian milk.

Cite This Article

APA
Nocerino R, Pezzella V, Cosenza L, Amoroso A, Di Scala C, Amato F, Iacono G, Canani RB. (2015). The controversial role of food allergy in infantile colic: evidence and clinical management. Nutrients, 7(3), 2015-2025. https://doi.org/10.3390/nu7032015

Publication

Nutrients
ISSN: 2072-6643
NlmUniqueID: 101521595
Country: Switzerland
Language: English
Volume: 7
Issue: 3
Pages: 2015-2025

Researcher Affiliations

Nocerino, Rita
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. ritanocerino@alice.it.
Pezzella, Vincenza
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. cinzia.pezzella@gmail.com.
Cosenza, Linda
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. lindacosenza@libero.it.
Amoroso, Antonio
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. antonioamoroso87@gmail.com.
Di Scala, Carmen
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. carmendiscala@gmail.com.
Amato, Francesco
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. rnocerino13@gmail.com.
Iacono, Giuseppe
  • UOC of Gastroenterology "Arnas Civico", 90127 Palermo post code, Italy. cinzia3006@gmail.com.
Canani, Roberto Berni
  • Department of Translational Medical Science and European Laboratory for the Investigation of Food Induced Diseases, CEINGE-Advanced Biotechnologies University of Naples "Federico II", 80131 Naples, Italy. berni@unina.it.

MeSH Terms

  • Animals
  • Breast Feeding
  • Colic / diet therapy
  • Colic / etiology
  • Colic / immunology
  • Humans
  • Infant Formula
  • Milk / adverse effects
  • Milk / immunology
  • Milk Hypersensitivity / complications
  • Milk Hypersensitivity / diet therapy
  • Milk, Human / immunology

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Citations

This article has been cited 17 times.
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