Allergic colitis classification: Difference between revisions

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{{CMG}}; {{AE}}{{QS}}
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==Overview==
==Overview==
Allergic colitis can be classified into two subtypes based on the anatomical site involved, [[proctocolitis]] and [[enterocolitis]].<ref name="pmid25976434">{{cite journal| author=Nowak-Węgrzyn A| title=Food protein-induced enterocolitis syndrome and allergic proctocolitis. | journal=Allergy Asthma Proc | year= 2015 | volume= 36 | issue= 3 | pages= 172-84 | pmid=25976434 | doi=10.2500/aap.2015.36.3811 | pmc=4405595 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25976434  }} </ref><ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref><ref name="pmid21134568">{{cite journal| author=Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA et al.| title=Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. | journal=J Allergy Clin Immunol | year= 2010 | volume= 126 | issue= 6 | pages= 1105-18 | pmid=21134568 | doi=10.1016/j.jaci.2010.10.008 | pmc=4241958 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21134568  }} </ref>. Allergic colitis manifests more commonly as proctocolitis. It is also more common among infants.
Allergic colitis can be classified into two subtypes based on the anatomical site involved, [[proctocolitis]] and [[enterocolitis]]. Allergic colitis manifests more commonly as [[proctocolitis]]. It is also more common among infants.


==Classification==
==Classification==
Based on the anatomical area involved, allergic colitis may be classified into:<ref name="pmid25976434">{{cite journal| author=Nowak-Węgrzyn A| title=Food protein-induced enterocolitis syndrome and allergic proctocolitis. | journal=Allergy Asthma Proc | year= 2015 | volume= 36 | issue= 3 | pages= 172-84 | pmid=25976434 | doi=10.2500/aap.2015.36.3811 | pmc=4405595 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25976434  }} </ref><ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref><ref name="pmid21134568">{{cite journal| author=Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA et al.| title=Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. | journal=J Allergy Clin Immunol | year= 2010 | volume= 126 | issue= 6 | pages= 1105-18 | pmid=21134568 | doi=10.1016/j.jaci.2010.10.008 | pmc=4241958 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21134568  }} </ref>
Based on the anatomical area involved, allergic colitis may be classified into:<ref name="pmid25976434">{{cite journal| author=Nowak-Węgrzyn A| title=Food protein-induced enterocolitis syndrome and allergic proctocolitis. | journal=Allergy Asthma Proc | year= 2015 | volume= 36 | issue= 3 | pages= 172-84 | pmid=25976434 | doi=10.2500/aap.2015.36.3811 | pmc=4405595 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25976434  }} </ref><ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref><ref name="pmid21134568">{{cite journal| author=Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA et al.| title=Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. | journal=J Allergy Clin Immunol | year= 2010 | volume= 126 | issue= 6 | pages= 1105-18 | pmid=21134568 | doi=10.1016/j.jaci.2010.10.008 | pmc=4241958 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21134568  }} </ref>
*Food protein-induced proctocolitis
*[[Food protein-induced allergic proctocolitis (FPIAP)]]
*Food protein-induced enterocolitis
*[[Food protein-induced enterocolitis syndrome (FPIES)]]
Based on Age, allergic colitis can be classified into:<ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref>
Based on age, allergic colitis can be classified into:<ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref>
*Infantile
*Infantile
*Adolescent/Adult
*Adolescent/Adult
Based on immune mechanism, it can be classified into:<ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref><ref name="pmid14713902">{{cite journal| author=Rothenberg ME| title=Eosinophilic gastrointestinal disorders (EGID). | journal=J Allergy Clin Immunol | year= 2004 | volume= 113 | issue= 1 | pages= 11-28; quiz 29 | pmid=14713902 | doi=10.1016/j.jaci.2003.10.047 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14713902  }} </ref>
Based on immune mechanism, it can be classified into:<ref name="pmid21922029">{{cite journal| author=Alfadda AA, Storr MA, Shaffer EA| title=Eosinophilic colitis: epidemiology, clinical features, and current management. | journal=Therap Adv Gastroenterol | year= 2011 | volume= 4 | issue= 5 | pages= 301-9 | pmid=21922029 | doi=10.1177/1756283X10392443 | pmc=3165205 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21922029  }} </ref><ref name="pmid14713902">{{cite journal| author=Rothenberg ME| title=Eosinophilic gastrointestinal disorders (EGID). | journal=J Allergy Clin Immunol | year= 2004 | volume= 113 | issue= 1 | pages= 11-28; quiz 29 | pmid=14713902 | doi=10.1016/j.jaci.2003.10.047 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14713902  }} </ref>
*Atopic (IgE mediated)
*Atopic (IgE mediated)
*Non atopic (non- IgE mediated)
*Non atopic (non-IgE mediated)
Based on the duration of symptoms and presentation, allergic colitis may be classified into:<ref name="pmid25976434">{{cite journal| author=Nowak-Węgrzyn A| title=Food protein-induced enterocolitis syndrome and allergic proctocolitis. | journal=Allergy Asthma Proc | year= 2015 | volume= 36 | issue= 3 | pages= 172-84 | pmid=25976434 | doi=10.2500/aap.2015.36.3811 | pmc=4405595 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25976434  }} </ref>
Based on the duration of symptoms and presentation, allergic colitis may be classified into:<ref name="pmid25976434">{{cite journal| author=Nowak-Węgrzyn A| title=Food protein-induced enterocolitis syndrome and allergic proctocolitis. | journal=Allergy Asthma Proc | year= 2015 | volume= 36 | issue= 3 | pages= 172-84 | pmid=25976434 | doi=10.2500/aap.2015.36.3811 | pmc=4405595 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25976434  }} </ref>
*Acute: Minutes to few hours after coming in ingesting the offending protein.
*Acute: Minutes to few hours after coming in ingesting the offending protein.
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Gastroenterology]]
[[Category:InfectiousDisease]]
[[Category:PrimaryCare]]
{{WS}}{{WH}}

Latest revision as of 15:35, 1 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Salau, M.B.B.S., FMCPaed [2]

Overview

Allergic colitis can be classified into two subtypes based on the anatomical site involved, proctocolitis and enterocolitis. Allergic colitis manifests more commonly as proctocolitis. It is also more common among infants.

Classification

Based on the anatomical area involved, allergic colitis may be classified into:[1][2][3]

Based on age, allergic colitis can be classified into:[2]

  • Infantile
  • Adolescent/Adult

Based on immune mechanism, it can be classified into:[2][4]

  • Atopic (IgE mediated)
  • Non atopic (non-IgE mediated)

Based on the duration of symptoms and presentation, allergic colitis may be classified into:[1]

  • Acute: Minutes to few hours after coming in ingesting the offending protein.
  • Chronic: Weeks after ingesting the offending protein. Presentation is due to accumulative effect of the protein.

References

  1. ↑ 1.0 1.1 Nowak-Węgrzyn A (2015). "Food protein-induced enterocolitis syndrome and allergic proctocolitis". Allergy Asthma Proc. 36 (3): 172–84. doi:10.2500/aap.2015.36.3811. PMC 4405595. PMID 25976434.
  2. ↑ 2.0 2.1 2.2 Alfadda AA, Storr MA, Shaffer EA (2011). "Eosinophilic colitis: epidemiology, clinical features, and current management". Therap Adv Gastroenterol. 4 (5): 301–9. doi:10.1177/1756283X10392443. PMC 3165205. PMID 21922029.
  3. ↑ Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA; et al. (2010). "Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report". J Allergy Clin Immunol. 126 (6): 1105–18. doi:10.1016/j.jaci.2010.10.008. PMC 4241958. PMID 21134568.
  4. ↑ Rothenberg ME (2004). "Eosinophilic gastrointestinal disorders (EGID)". J Allergy Clin Immunol. 113 (1): 11–28, quiz 29. doi:10.1016/j.jaci.2003.10.047. PMID 14713902.
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