Allergic colitis differential diagnosis
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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
Symptoms and signs of allergic colitis are non-specific and seen in other causes of colitis and some systemic diseases. Detailed history and physical examination is needed to make the diagnosis. In addition, endoscopy with biopsy may be required to confirm the diagnosis. In infancy, allergic colitis must particularly be differentiated from necrotizing enterocolitis, infectious colitis, anal fissure, intussusception and volvolus. In adolescent and adults, allergic colitis must be differentiated from inflammatory bowel disease, infectious colitis, and colorectal malignancy.[1][2]
Differentiating Allergic colitis from other Diseases
The differential diagnosis of allergic colitis can be classified into two according to age group.
Differential diagnosis in Infants
- Swallowed maternal blood syndrome
- Anorectal fissure
- Necrotizing enterocolitis especially in preterm babies
- Vitamin K deficiency hemorrhage
- Other Coagulopathies (hereditary such as coagulation factor deficiency or acquired such as Liver disease with clotting factor deficiency)
- Intussusception
- Infectious colitis
- Hirschsprung disease complicated by enterocolitis
- Volvolus
- Inflammatory bowel disease(early onset)
- Meckel diverticulum
- Dermatitis
- Gastrointestinal duplication cyst
- Vascular malformations
- Gastro-duodenal ulcers
- Lymphonodular hyperplasia
Differential diagnosis in adolescent/ adult
- Inflammatory bowel disease
- Behcet's disease
- Arteriovenous malformation
- Diverticulosis
- Infectious colitis
- Coagulopathy
- Henoch-Schonlein purpura
- Systemic lupus erythematosus(SLE)
- Colorectal malignancy
References
- ↑ 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.
- ↑ Lake AM (2000). "Food-induced eosinophilic proctocolitis". J Pediatr Gastroenterol Nutr. 30 Suppl: S58–60. PMID 10634300.