Document Detail


Rice protein-induced enterocolitis syndrome.
MedLine Citation:
PMID:  16697497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIMS: Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated allergic reaction, usually to cow's milk or soy protein. The aim is to present a series of infants with enterocolitis syndrome developed after rice ingestion. To our knowledge, the issue has only once been described in patients from Europe. METHODS: Data on five patients were retrospectively analyzed. The patients presented with vomiting, diarrhea and dehydration; therefore, allergy was not considered as a diagnosis and the patients underwent broad diagnostic evaluation. Finally, an open food challenge was performed for suspicion of rice allergy. RESULTS: Detailed clinical and laboratory findings are presented. As all patients had symptoms which could have been indicative of a broad spectrum of diseases, a median of two hospitalizations was needed to establish the diagnosis. When the rice protein-induced enterocolitis syndrome is suspected all patients should undergo open food challenge test, as no other diagnostic procedure can confirm the diagnosis. CONCLUSION: This report shows that even hypoallergenic foods such as rice may cause FPIES and should be considered in the differential diagnosis of profuse vomiting and prostration in infants introduced to some kind of rice protein.
Authors:
Iva Hojsak; Mirjana Kljaić-Turkalj; Zrinjka Misak; Sanja Kolacek
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-05-12
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  25     ISSN:  0261-5614     ISO Abbreviation:  Clin Nutr     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  533-6     Citation Subset:  IM    
Affiliation:
Referral Center for Pediatric Gastroenterology and Nutrition, Zagreb Children's Hospital, Klaićeva 16, HR-10000 Zagreb, Croatia. ivahojsak@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Allergens / immunology
Child
Child, Preschool
Dehydration
Diagnosis, Differential
Diarrhea
Enterocolitis / diagnosis,  diet therapy,  immunology*
Food Hypersensitivity / diagnosis,  immunology*
Humans
Immunoglobulin E / blood
Intensive Care
Oryza sativa / chemistry*
Plant Proteins / immunology*
Skin Tests
Vomiting
Chemical
Reg. No./Substance:
0/Allergens; 0/Plant Proteins; 37341-29-0/Immunoglobulin E

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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