Cow milk protein allergy (CMPA) occurs when
the body’s immune system reacts in an abnormal
way to the protein found in milk products and it is
one of the common causes of adverse food
reaction during infancy and early childhood.
Incidence is higher in non-breast fed babies than
breast fed. Recent demographic and health
survey from Pakistan reported rate of exclusive
breastfeeding and non-exclusively breastfed is
38% and 67% respectively. CMPA is the
common problem in our country and there is no
published literature regarding incidence, clinical
presentation and management of this disease.
This review paper after briefly discussing the
epidemiology, patho-physiology and clinical
presentation of CMPA provides practical
evidence based guidelines on the management
of infants and children suffering from CMPA in
Pakistan.