When and to whom to refer infants with milk protein allergy
| CONSULTANT | WHEN TO REFER |
|---|---|
| Dietitian | Counseling for lactating mothers at the time of diagnosis |
| Counseling for introduction of solid foods | |
| Allergist | Suspected anaphylactic allergy |
| Allergy testing before reintroducing milk (if IgE-mediated allergy is suspected) | |
| Suspected multiple food allergies (not just milk proteins) | |
| Pediatrician or pediatric gastroenterologist | Significant weight loss (> 20% of birth weight or > 10% current weight if birth weight surpassed) |
| Failure to thrive refractory to initial management | |
| Symptoms refractory to amino acid–based formula | |
| Feeding aversion |
Data from Høst.10