Maternal Elimination Diet and Symptoms of Cow ’s Milk Allergy in Breastfed Infants—Reply

In Reply We thank Hilvo for commenting on our article and highlighting studies from the 1980s that reported infant responses to maternal dietary exclusions. In fact, there is a longer history of this concept that a breastfeeding woman ’s dietary intake may cause allergic reactions in her infant, with the first report of infant “allergic” response to maternal intake of chocolate published in 1918. However, as Hilvo rightly points out, and Cochrane reviews have also identified, randomized clinical trial evidence in this field is inconsistent. Case reports, observational studies, and personal and clinical experience support the existence of infants whose symptoms respond to maternal dietary intake. But this phenomenon occurs in both allergic and nonallergic infants.
Source: JAMA Pediatrics - Category: Pediatrics Source Type: research