Food protein-induced enterocolitis syndrome. A case report
Background: Food protein-induced enterocolitis syndrome or FPIES is a rare, not-IgE-mediated food allergy. The predominant feature is vomit from one to four hours after consuming the causal food. Clinical case: An 8-month-old boy, with no family history of allergy, with a personal pathological hist...
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Format: | Article |
Language: | English |
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Colegio Mexicano de Inmunología Clínica y Alergia, A.C.
2019-06-01
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Series: | Revista Alergia México |
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Online Access: | http://revistaalergia.mx/ojs/index.php/ram/article/view/530 |
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author | Miguel Ángel González-Cruz Alejandro Ferreiro-Marín Luis Guillermo Meave-Cueva Rodolfo Muriel-Vizcaino |
author_facet | Miguel Ángel González-Cruz Alejandro Ferreiro-Marín Luis Guillermo Meave-Cueva Rodolfo Muriel-Vizcaino |
author_sort | Miguel Ángel González-Cruz |
collection | DOAJ |
description | Background: Food protein-induced enterocolitis syndrome or FPIES is a rare, not-IgE-mediated food allergy. The predominant feature is vomit from one to four hours after consuming the causal food.
Clinical case: An 8-month-old boy, with no family history of allergy, with a personal pathological history of allergy to cow’s milk protein. At 7 months of age, he had acute gastroenteritis with mixed shock and, at 8 months of age, he had acute gastroenteritis and moderate dehydration. In both episodes, he had eaten rice before the symptoms started. When infectious etiology and other causes of vomit and dehydration were ruled out, the diagnosis of FPIES, which is secondary to rice protein, was made and confirmed with a patch test.
Conclusion: FPIES should be considered in the differential diagnosis of recurrent gastroenteritis, especially in severe cases without an identified infectious cause. |
first_indexed | 2024-03-12T05:48:26Z |
format | Article |
id | doaj.art-44dd2779abd8401784dd3717e487d1a8 |
institution | Directory Open Access Journal |
issn | 0002-5151 2448-9190 |
language | English |
last_indexed | 2024-03-12T05:48:26Z |
publishDate | 2019-06-01 |
publisher | Colegio Mexicano de Inmunología Clínica y Alergia, A.C. |
record_format | Article |
series | Revista Alergia México |
spelling | doaj.art-44dd2779abd8401784dd3717e487d1a82023-09-03T05:26:25ZengColegio Mexicano de Inmunología Clínica y Alergia, A.C.Revista Alergia México0002-51512448-91902019-06-0166225726210.29262/ram.v66i2.530414Food protein-induced enterocolitis syndrome. A case reportMiguel Ángel González-Cruz0Alejandro Ferreiro-Marín1Luis Guillermo Meave-Cueva2Rodolfo Muriel-Vizcaino3Asociación Médica del Centro Médico ABC, Centro Médico ABC Santa Fe, Servicio de Pediatría, Ciudad de MéxicoAsociación Médica del Centro Médico ABC, Centro Médico ABC Santa Fe, Servicio de Pediatría, Ciudad de MéxicoAsociación Médica del Centro Médico ABC, Centro Médico ABC Santa Fe, Servicio de Pediatría, Ciudad de MéxicoAsociación Médica del Centro Médico ABC, Centro Médico ABC Santa Fe, Servicio de Pediatría, Ciudad de MéxicoBackground: Food protein-induced enterocolitis syndrome or FPIES is a rare, not-IgE-mediated food allergy. The predominant feature is vomit from one to four hours after consuming the causal food. Clinical case: An 8-month-old boy, with no family history of allergy, with a personal pathological history of allergy to cow’s milk protein. At 7 months of age, he had acute gastroenteritis with mixed shock and, at 8 months of age, he had acute gastroenteritis and moderate dehydration. In both episodes, he had eaten rice before the symptoms started. When infectious etiology and other causes of vomit and dehydration were ruled out, the diagnosis of FPIES, which is secondary to rice protein, was made and confirmed with a patch test. Conclusion: FPIES should be considered in the differential diagnosis of recurrent gastroenteritis, especially in severe cases without an identified infectious cause.http://revistaalergia.mx/ojs/index.php/ram/article/view/530síndrome de enterocolitis inducida por proteínas de los alimentosalergia alimentariaalergia alimentaria no mediada por ige |
spellingShingle | Miguel Ángel González-Cruz Alejandro Ferreiro-Marín Luis Guillermo Meave-Cueva Rodolfo Muriel-Vizcaino Food protein-induced enterocolitis syndrome. A case report Revista Alergia México síndrome de enterocolitis inducida por proteínas de los alimentos alergia alimentaria alergia alimentaria no mediada por ige |
title | Food protein-induced enterocolitis syndrome. A case report |
title_full | Food protein-induced enterocolitis syndrome. A case report |
title_fullStr | Food protein-induced enterocolitis syndrome. A case report |
title_full_unstemmed | Food protein-induced enterocolitis syndrome. A case report |
title_short | Food protein-induced enterocolitis syndrome. A case report |
title_sort | food protein induced enterocolitis syndrome a case report |
topic | síndrome de enterocolitis inducida por proteínas de los alimentos alergia alimentaria alergia alimentaria no mediada por ige |
url | http://revistaalergia.mx/ojs/index.php/ram/article/view/530 |
work_keys_str_mv | AT miguelangelgonzalezcruz foodproteininducedenterocolitissyndromeacasereport AT alejandroferreiromarin foodproteininducedenterocolitissyndromeacasereport AT luisguillermomeavecueva foodproteininducedenterocolitissyndromeacasereport AT rodolfomurielvizcaino foodproteininducedenterocolitissyndromeacasereport |