Polish guidelines for the diagnosis and management
of cow’s milk protein allergy [STADAMPL]

Andrea Horvath; Pawel Majak; Marek Kulus; Aneta Krogulska; Marta Rachel; Zbigniew Bartuzi; Barbara Rymarczyk; Radosław Gawlik; Rafał Pawliczak

doi:10.5114/pja.2026.161054

eISSN: 2391-6052
ISSN: 2353-3854

Alergologia Polska - Polish Journal of Allergology

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abstract:

Polish guidelines for the diagnosis and management of cow’s milk protein allergy [STADAMPL]

Andrea Horvath

¹

,

Pawel Majak

²

,

Marek Kulus

³

,

Aneta Krogulska

⁴

,

Marta Rachel

^{5, 6}

,

Zbigniew Bartuzi

⁷

,

Barbara Rymarczyk

⁸

,

Radosław Gawlik

⁸

,

Rafał Pawliczak

⁹

Department of Paediatrics, Medical University of Warsaw, Poland
Department of Paediatric Pulmonology, Medical University of Lodz, Korczak Paediatric Center, Lodz, Poland
Department of Paediatric Pneumonology and Allergology, Medical University of Warsaw, Poland
Retired from: Department of Paediatrics, Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
Allergology Outpatient Department, Provincial Hospital No. 2, Rzeszow, Poland
Department of Allergology, Clinical Immunology and Internal Diseases, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
Clinical Department of Internal Disease, Allergology and Immunology in Zabrze, Medical University of Silesia in Katowice, Poland
Department of Immunopathology, Medical Faculty, Medical University of Lodz, Poland

DOI: https://doi.org/10.5114/pja.2026.161054

Online publish date: 2026/04/23

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Cow’s milk protein allergy is an important clinical and social problem and remains a source of considerable controversy among physicians, patients, parents, and healthcare payers. To date, the Polish Society of Allergology has not issued an official position regarding standards of management in this area. Therefore, we decided to develop recommendations that may serve as a starting point for diagnosis and therapy. Given the numerous controversies related to reimbursement, the standards also address this issue. The document was prepared

by a group of practicing physicians who are involved in the daily care of children. The recommendations are intended for physicians of all specialties. To ensure clarity and usability, a question-based format supported by the Delphi methodology was applied.

keywords:

Polish guidelines for the diagnosis and management of cow’s milk protein allergy [STADAMPL]

Andrea Horvath 1 , Pawel Majak 2 , Marek Kulus 3 , Aneta Krogulska 4 , Marta Rachel 5, 6 , Zbigniew Bartuzi 7 , Barbara Rymarczyk 8 , Radosław Gawlik 8 , Rafał Pawliczak 9

allergy, cow’s milk, recommendations, guidelines

Andrea Horvath

¹

,

Pawel Majak

²

,

Marek Kulus

³

,

Aneta Krogulska

⁴

,

Marta Rachel

^{5, 6}

,

Zbigniew Bartuzi

⁷

,

Barbara Rymarczyk

⁸

,

Radosław Gawlik

⁸

,

Rafał Pawliczak

⁹