Allergic colitis physical examination: Difference between revisions
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! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Physical Examination}} | ! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Physical Examination}} | ||
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! style="padding: 5px 5px; background: #DCDCDC;" rowspan="1" | '''[[Food protein-induced allergic proctocolitis]]'''<ref name="pmid24416045">{{cite journal| author=Hwang JB, Hong J| title=Food protein-induced proctocolitis: Is this allergic disorder a reality or a phantom in neonates? | journal=Korean J Pediatr | year= 2013 | volume= 56 | issue= 12 | pages= 514-8 | pmid=24416045 | doi=10.3345/kjp.2013.56.12.514 | pmc=3885785 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24416045 }} </ref><ref name="pmid11264489">{{cite journal| author=Pumberger W, Pomberger G, Geissler W| title=Proctocolitis in breast fed infants: a contribution to differential diagnosis of haematochezia in early childhood. | journal=Postgrad Med J | year= 2001 | volume= 77 | issue= 906 | pages= 252-4 | pmid=11264489 | doi= | pmc=1741985 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11264489 }} </ref><ref name="pmid21762530">{{cite journal| author=Lucarelli S, Di Nardo G, Lastrucci G, D'Alfonso Y, Marcheggiano A, Federici T et al.| title=Allergic proctocolitis refractory to maternal hypoallergenic diet in exclusively breast-fed infants: a clinical observation. | journal=BMC Gastroenterol | year= 2011 | volume= 11 | issue= | pages= 82 | pmid=21762530 | doi=10.1186/1471-230X-11-82 | pmc=3224143 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21762530 }} </ref><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> | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" | | ||
*Child is usually well-appearing | *Child is usually well-appearing | ||
*The weight and height of the child is appropriate for age | *The weight and height of the child is appropriate for age | ||
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*Stool contain streak of blood with or without mucus | *Stool contain streak of blood with or without mucus | ||
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! style="padding: 5px 5px; background: #DCDCDC;" rowspan="2" | '''[[Food protein-induced enterocolitis syndrome]]'''<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> | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" '''Acute''' | ||
*The child is dehydrated | *The child is dehydrated within a few hours after exposure to the offending protein | ||
*The child | *The child is lethargic when severe | ||
*May be in shock | *May be in shock | ||
*Pallor is observed, especially with frank bloody diarrhea | *Pallor is observed, especially with frank bloody diarrhea | ||
*The child may appear dusky | *The child may appear dusky | ||
*Abdominal distention may be seen | *Abdominal distention may be seen | ||
*May have | *May develop edema | ||
|- | |||
|style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" |'''Chronic''' | |||
Symptoms occur with a background chronic exposure | |||
*The child's weight and height are low for the age | |||
*May develop edema | |||
*May have abdominal distension | |||
*Signs of dehydration will also be observed following acute exposure | |||
|} | |} | ||
Revision as of 14:41, 19 September 2016
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Allergic colitis Microchapters |
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Diagnosis |
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Treatment |
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Allergic colitis physical examination On the Web |
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American Roentgen Ray Society Images of Allergic colitis physical examination |
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Risk calculators and risk factors for Allergic colitis physical examination |
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
Patients with allergic colitis may appear well in the case of FPIAP or may appear lethargic when they have FPIES. Physical examination of patients with FPIES is usually remarkable for signs of dehydration, pallor and poor weight.
Physical Examination
| Type of Allergic colitis | Physical Examination |
|---|---|
| Food protein-induced allergic proctocolitis[1][2][3][4] |
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| Food protein-induced enterocolitis syndrome[4] | style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" Acute
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| Chronic
Symptoms occur with a background chronic exposure
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References
- ↑ Hwang JB, Hong J (2013). "Food protein-induced proctocolitis: Is this allergic disorder a reality or a phantom in neonates?". Korean J Pediatr. 56 (12): 514–8. doi:10.3345/kjp.2013.56.12.514. PMC 3885785. PMID 24416045.
- ↑ Pumberger W, Pomberger G, Geissler W (2001). "Proctocolitis in breast fed infants: a contribution to differential diagnosis of haematochezia in early childhood". Postgrad Med J. 77 (906): 252–4. PMC 1741985. PMID 11264489.
- ↑ Lucarelli S, Di Nardo G, Lastrucci G, D'Alfonso Y, Marcheggiano A, Federici T; et al. (2011). "Allergic proctocolitis refractory to maternal hypoallergenic diet in exclusively breast-fed infants: a clinical observation". BMC Gastroenterol. 11: 82. doi:10.1186/1471-230X-11-82. PMC 3224143. PMID 21762530.
- ↑ 4.0 4.1 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.