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Most children with milk allergy outgrow it, but only half do so by age 5 years. Studies show that for patients who can tolerate extensively heated and baked milk (EHBM), such as in muffins and cookies, regular consumption may speed resolution of food allergy.
In a retrospective case control study, 43 children younger than 4 years with cow milk allergy who could tolerate EHBM were enrolled in a structured gradual exposure protocol. These children (median age, 17 months) underwent an oral challenge every 3 months to a baked cookie, a fried pancake, cooked cheese, and finally yogurt, and were followed until a median age of 40 months. They were matched to 67 controls with cow milk allergy who strictly avoided all milk and were followed to a medi…