Food protein–induced enterocolitis syndrome: Not so rare after all!

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Presentation transcript:

Food protein–induced enterocolitis syndrome: Not so rare after all! Anna Nowak-Wegrzyn, MD, PhD, Jonathan M. Spergel, MD, PhD Journal of Allergy and Clinical Immunology Volume 140, Issue 5, Pages 1275-1276 (November 2017) DOI: 10.1016/j.jaci.2017.07.020 Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Diagnostic criteria for acute FPIES (International Statistical Classification of Diseases and Related Health Problems, 10th Revision, code: K52.2). The diagnosis of acute FPIES requires that a patient meets the major criterion and at least 3 minor criteria.2 If only a single episode has occurred, a diagnostic oral food challenge should be strongly considered to confirm the diagnosis, especially because viral gastroenteritis is so common in this age group. Furthermore, although not a criterion for diagnosis, it is important to recognize that acute FPIES reactions will typically completely resolve over a matter of hours compared with the usual several day time course of gastroenteritis. The patient should be asymptomatic and growing normally when the offending food is eliminated from the diet. sxs, Symptoms. Journal of Allergy and Clinical Immunology 2017 140, 1275-1276DOI: (10.1016/j.jaci.2017.07.020) Copyright © 2017 American Academy of Allergy, Asthma & Immunology Terms and Conditions