Allergic colitis epidemiology and demographics

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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 exact prevalence of allergic colitis is unknown. Prevalence of food protein-induced allergic proctocolitis (FPIAP) has been reported to range from a low of 16% to a high of 64% among infants with rectal bleeding. FPIAP is the most common cause of non-infectious colitis in infancy. Allergic colitis is mainly a disease of infants, with onset usually in the first two to three months of life. There is a slight male predominance (50–61.6%) for allergic colitis.[1][2][3][4][5][6]

Epidemiology and Demographics

Prevalence and Incidence

The exact prevalence and incidence of allergic colitis is unknown.

  • Prevalence of food protein-induced allergic proctocolitis (FPIAP) has been reported to range from a low of 16% to a high of 64% among infants with rectal bleeding[1][2][3]
  • A population based study reported a prevalence of 1.6 in 1000 children under 1 year had cow's-milk protein induced rectal bleeding[7]
  • The incidence of milk FPIES was estimated as 0.34% of the newborn population in a population based study[7]
  • 60% of infants with FPIAP are babies on exclusive breastfeeding[1][8]
  • FPIAP is the most common cause of non-infectious colitis in infancy [4]

Age

Allergic colitis is mainly a disease of infants, with onset usually in the first 2-3 months of life. An adolescent form may develop in adolescence or early adulthood.[1][2][3][9]

Gender

There is a slight male predominance (50–61.6%) for allergic colitis.[5][6]

Race

There is no racial predilection for allergic colitis.

References

  1. 1.0 1.1 1.2 1.3 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 Arvola T, Ruuska T, Keränen J, Hyöty H, Salminen S, Isolauri E (2006). "Rectal bleeding in infancy: clinical, allergological, and microbiological examination". Pediatrics. 117 (4): e760–8. doi:10.1542/peds.2005-1069. PMID 16585287.
  3. 3.0 3.1 3.2 Xanthakos SA, Schwimmer JB, Melin-Aldana H, Rothenberg ME, Witte DP, Cohen MB (2005). "Prevalence and outcome of allergic colitis in healthy infants with rectal bleeding: a prospective cohort study". J Pediatr Gastroenterol Nutr. 41 (1): 16–22. PMID 15990624.
  4. 4.0 4.1 Sekerkova A, Fuchs M, Cecrdlova E, Svachova V, Kralova Lesna I, Striz I; et al. (2015). "High Prevalence of Neutrophil Cytoplasmic Autoantibodies in Infants with Food Protein-Induced Proctitis/Proctocolitis: Autoimmunity Involvement?". J Immunol Res. 2015: 902863. doi:10.1155/2015/902863. PMC 4592904. PMID 26484355.
  5. 5.0 5.1 Lozinsky AC, Morais MB (2014). "Eosinophilic colitis in infants". J Pediatr (Rio J). 90 (1): 16–21. doi:10.1016/j.jped.2013.03.024. PMID 24131740.
  6. 6.0 6.1 Mehr S, Frith K, Campbell DE (2014). "Epidemiology of food protein-induced enterocolitis syndrome". Curr Opin Allergy Clin Immunol. 14 (3): 208–16. doi:10.1097/ACI.0000000000000056. PMC 4011623. PMID 24686277.
  7. 7.0 7.1 Elizur A, Cohen M, Goldberg MR, Rajuan N, Cohen A, Leshno M; et al. (2012). "Cow's milk associated rectal bleeding: a population based prospective study". Pediatr Allergy Immunol. 23 (8): 766–70. doi:10.1111/pai.12009. PMID 23050491.
  8. Lake AM (2000). "Food-induced eosinophilic proctocolitis". J Pediatr Gastroenterol Nutr. 30 Suppl: S58–60. PMID 10634300.
  9. 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.