FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome
Purpose of Review. The aim of this review is to provide a case driven presentation of the presenting features and diagnostic criteria particularly focusing on the management of FPIES. It also summarises the natural history and resolution of cow’s milk induced FPIES. Data Sources. OvidSP Database was...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2016/1621827 |
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| author | Neha Khanna Kirtika Patel |
| author_facet | Neha Khanna Kirtika Patel |
| author_sort | Neha Khanna |
| collection | DOAJ |
| description | Purpose of Review. The aim of this review is to provide a case driven presentation of the presenting features and diagnostic criteria particularly focusing on the management of FPIES. It also summarises the natural history and resolution of cow’s milk induced FPIES. Data Sources. OvidSP Database was used to search for literature using the keywords food protein-induced enterocolitis and FPIES. Recent Findings. The diagnosis of FPIES is often delayed following two or more presentations. Symptoms in the acute form include profuse vomiting usually 2–6 hours following ingestion of food. Vomiting may or may not be accompanied by diarrhoea. Management involves removing the causal food protein from diet. There is some concomitance in cow’s milk and soya induced FPIES. Hence extensively hydrolysed formula is the milk of choice unless breast-feeding is carried out in which case that should be continued. Summary. FPIES is a complex form of non-IgE mediated food allergy. More awareness and knowledge of the condition are required to prevent misdiagnosis. Early diagnosis and removal of the culprit food protein improve the outcome. Good nutritional advice and clear management plans are important. More multicentre studies are required to reevaluate and produce consistent oral food challenge criteria and guidelines. |
| format | Article |
| id | doaj-art-d084088cf5da4fccaf7524da4f00d78a |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-d084088cf5da4fccaf7524da4f00d78a2025-02-03T00:59:33ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/16218271621827FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis SyndromeNeha Khanna0Kirtika Patel1Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage SG1 4AB, UKDepartment of Immunology, School of Medicine, Moi University, P.O. Box 4606, Eldoret 30100, KenyaPurpose of Review. The aim of this review is to provide a case driven presentation of the presenting features and diagnostic criteria particularly focusing on the management of FPIES. It also summarises the natural history and resolution of cow’s milk induced FPIES. Data Sources. OvidSP Database was used to search for literature using the keywords food protein-induced enterocolitis and FPIES. Recent Findings. The diagnosis of FPIES is often delayed following two or more presentations. Symptoms in the acute form include profuse vomiting usually 2–6 hours following ingestion of food. Vomiting may or may not be accompanied by diarrhoea. Management involves removing the causal food protein from diet. There is some concomitance in cow’s milk and soya induced FPIES. Hence extensively hydrolysed formula is the milk of choice unless breast-feeding is carried out in which case that should be continued. Summary. FPIES is a complex form of non-IgE mediated food allergy. More awareness and knowledge of the condition are required to prevent misdiagnosis. Early diagnosis and removal of the culprit food protein improve the outcome. Good nutritional advice and clear management plans are important. More multicentre studies are required to reevaluate and produce consistent oral food challenge criteria and guidelines.http://dx.doi.org/10.1155/2016/1621827 |
| spellingShingle | Neha Khanna Kirtika Patel FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome Case Reports in Pediatrics |
| title | FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome |
| title_full | FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome |
| title_fullStr | FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome |
| title_full_unstemmed | FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome |
| title_short | FPIES: Reviewing the Management of Food Protein-Induced Enterocolitis Syndrome |
| title_sort | fpies reviewing the management of food protein induced enterocolitis syndrome |
| url | http://dx.doi.org/10.1155/2016/1621827 |
| work_keys_str_mv | AT nehakhanna fpiesreviewingthemanagementoffoodproteininducedenterocolitissyndrome AT kirtikapatel fpiesreviewingthemanagementoffoodproteininducedenterocolitissyndrome |