Allergic colitis classification

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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.[1][2][3]. 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]

  • Food protein-induced allergic proctocolitis (FPIAP)
  • Food protein-induced enterocolitis syndrome (FPIES)

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 1.2 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 2.3 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. 3.0 3.1 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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