Food Protein-Induced Enterocolitis Syndrome

被引:15
作者
Bingemann, Theresa A. [1 ,2 ]
Sood, Puja [2 ]
Jarvinen, Kirsi M. [2 ]
机构
[1] Rochester Reg Hlth, Allergy Immunol & Rheumatol, 222 Alexander St,Suite 3000, Rochester, NY 14607 USA
[2] Univ Rochester, Sch Med & Dent, Div Pediat Allergy & Immunol, Rochester, NY 14642 USA
关键词
Non-IgE-mediated food allergy; Food protein-induced enterocolitis syndrome (FPIES); Cow's milk; Soy; Oral food challenge; Failure to thrive; ATOPY PATCH TEST; GASTROINTESTINAL SYMPTOMS; CLINICAL-FEATURES; SYNDROME FPIES; COWS MILK; MANAGEMENT; ALLERGY; DIAGNOSIS; ONDANSETRON; HYPERSENSITIVITY;
D O I
10.1016/j.iac.2017.09.009
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Food protein-induced enterocolitis syndrome (FPIES) is a non-immunoglobulin E-mediated food allergy that usually presents in infancy. Cow's milk, soy, and grains are the most common food triggers. FPIES can present as a medical emergency with symptoms including delayed persistent emesis or diarrhea that can lead to severe dehydration and hemodynamic instability with abnormal laboratory markers. Diagnosis often can be made based on clinical history and noted improvement in symptoms once the suspected triggers have been removed from the diet, with oral food challenge as the gold standard for confirmation of diagnosis in unclear cases.
引用
收藏
页码:141 / +
页数:13
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