COW MILK PROTEIN ALLERGY DURING THE FIRST YEAR OF LIFE - A 12 YEAR EXPERIENCE AT THE CHILDRENS-HOSPITAL, BANGKOK

CMA should be suspected for patients aged less than one year who had p ersistent diarrhea and/or hematemesis with no enteric pathogen found, Confirmed diagnosis could be made by Goldman challenge test, Patients with confirmed CMA should be treated by changing the cow milk feeding to soy milk feeding, However, in our study, 17% of CMA patients were a lso allergic to soy protein, Thus the soy milk was replaced by the ele mental formula for successful treatment of this group of patients. Bes ide persistent diarrhea, hematemesis, anemia and hypoalbuminemia were other possible findings among patients with CMA with or without soy pr otein allergy.