Abstract
Food protein-induced enterocolitis syndrome (FPIES) is an allergic disease, probably non-IgE-mediated, with expression predominantly in the GI tract. The most characteristic symptom is repeated, debilitating vomiting. It occurs 2-6 h after ingestion of culprit food and is usually accompanied by pallor and lethargy. There may be diarrhea, and in 10-20% of cases, severe hypotension. These symptoms resolve completely within a few hours. The food most frequently involved is cow's milk, followed by rice, but many other foods may be involved. The prognosis is generally good in a few years. In this review the authors try to cope, with the help of some case histories, with the practical clinical aspects of FPIES. The authors also try to provide a management approach based on current knowledge, and finally, to point out the aspects of FPIES that are still controversial.
Lingua originale | English |
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pagine (da-a) | 707-715 |
Numero di pagine | 9 |
Rivista | Expert Review of Clinical Immunology |
Volume | 9 |
DOI | |
Stato di pubblicazione | Pubblicato - 2013 |
Keywords
- Age of Onset
- Animals
- Cattle
- Cortisone
- Diet Therapy
- Enterocolitis
- Female
- Food
- Food Hypersensitivity
- Humans
- Hypotension
- Infant
- Male
- Syndrome
- Vomiting