Allergic colitis history and symptoms: Difference between revisions
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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: #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;" rowspan="1" |'''Chronic''' | | style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" |'''Chronic''' | ||
Typical presentation is that of chronic exposure with onset of symptoms developing insidiously in the first few weeks of life to as long as 1 year | Typical presentation is that of chronic exposure to the trigger food with onset of symptoms developing insidiously in the first few weeks of life to as long as 1 year. | ||
*Recurrent vomiting that may initially be difficult to relate to food intake | *Recurrent vomiting that may initially be difficult to relate to food intake | ||
*Child is usually on infant formula only but occasionally infant formula with breastfeeding | *Child is usually on infant formula only but occasionally infant formula with breastfeeding | ||
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|style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" |'''Acute''' | |style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" |'''Acute''' | ||
Symptoms occur with a background chronic exposure | Symptoms occur following a period of avoidance of trigger food in a patient with a background history of chronic exposure. It may also follow intermittent exposures. | ||
*History of recurrent episodes of vomiting few hours (1 to 3 hours) after taking the offending | *History of dramatic recurrent episodes of vomiting few hours (1 to 3 hours) after taking the offending food | ||
*Vomiting is usually of large volume, may be projectile and bilious | *Vomiting is usually of large volume, may be projectile and bilious | ||
*History of passage of diarrhea stool occurring | *History of passage of diarrhea stool occurring shortly after the onset of vomiting. Diarrhea stool is usually of large vlolume and may or may not contain streaks of blood and mucus | ||
*Occasionally diarrhea stool may become completely bloody | *Occasionally diarrhea stool may become completely bloody | ||
*History of atopy in the family | *History of atopy in the family | ||
Revision as of 18:37, 19 September 2016
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Allergic colitis history and symptoms On the Web |
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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
The most common symptoms of allergic colitis is passage of blood streaked stool in an otherwise healthy young infant especially in FPIAP. History of failure to thrive may also be gotten in the infant with FPIES. There may be a family history of allergy.
History and Symptoms
Obtaining a detailed history is important in making diagnosis of allergic colitis. Complete history will help determine the cause and possible risk factors associated with the disease.
History
Specific history to ask include:
- When the symptoms started
- Type of food ingested
- Detailed description of the symptoms, such as stool pattern, number of times and presence or absence of blood in the stool; and vomiting
- Is the child thriving or ill looking
- Presence of abdominal pain
- Is there any family history of allergy
| Type of Allergic colitis | History and Symptoms |
|---|---|
| Food protein-induced allergic proctocolitis[1][2][3][4] |
|
| Food protein-induced enterocolitis syndrome[4] | Chronic
Typical presentation is that of chronic exposure to the trigger food with onset of symptoms developing insidiously in the first few weeks of life to as long as 1 year.
|
| Acute
Symptoms occur following a period of avoidance of trigger food in a patient with a background history of chronic exposure. It may also follow intermittent exposures.
|
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.