Allergic colitis history and symptoms: Difference between revisions
Jump to navigation
Jump to search
Qasim Salau (talk | contribs) |
Qasim Salau (talk | contribs) |
||
| Line 22: | Line 22: | ||
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|History and Symptoms}} | ! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|History and Symptoms}} | ||
|- | |- | ||
! 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> | ! 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;" rowspan="1" | | | style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" | | ||
*Onset of symptoms in the first two months of life | *Onset of symptoms in the first two months of life | ||
| Line 31: | Line 31: | ||
*History of allergy in the family | *History of allergy in the family | ||
|- | |- | ||
! style="padding: 5px 5px; background: #DCDCDC;" rowspan="2" | '''[[Food protein-induced enterocolitis syndrome]]''' | ! 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''' | ||
Typical presentation is that of chronic exposure with onset in the first few weeks of life to as long as 1 year | |||
*Child is usually on infant formula only | *Recurrent vomiting that may initially be difficult to relate to food intake | ||
*History of recurrent episodes of vomiting few hours after | *Child is usually on infant formula only but occasionally infant formula with breastfeeding | ||
*History of | *Infant formula is usually cow's milk or soy milk based formula | ||
*History of recurrent episodes of vomiting few hours after ingestion of food | |||
*History of diarrhea, which is blood stained | |||
*Occasionally diarrhea stool may be completely bloody | |||
*History of child losing weight or having poor weight gain | |||
*History of atopy in the family | |||
Usually occurs in formula-fed infants, not reported in breast-fed infants | |||
Profuse vomiting (within 2–3 hr) and diarrhea causing profound dehydration | |||
and lethargy upon acute exposure | |||
Failure to thrive with hypoalbuminemia when chronically exposed | |||
Resolution of symptoms with removal of causal food | |||
Negative prick skin tests and serum food-specific IgE tests | |||
Treatment of acute reactions with vigorous i.v. hydration | |||
Reintroduction of the suspected foods under physician supervision with i.v. | |||
access | |||
Usual resolution of reactivity with age | |||
|- | |- | ||
| | |style="padding: 5px 5px; background: #F5F5F5;" rowspan="1" |'''Acute''' | ||
* | Symptoms occur with a background chronic exposure | ||
*History of | *History of recurrent episodes of vomiting few hours (1 to 3 hours) after taking the offending feed | ||
*Vomiting is often large, may or may not be bilious and may be described as projectile | |||
*History of passage of diarrhea stool occuring soon after the onset of vomiting. Diarrhea stool may or may not contain streaks of blood and mucus | |||
*Occasionally diarrhea stool may become completely bloody | |||
*History of atopy in the family | *History of atopy in the family | ||
|} | |} | ||
Revision as of 14:15, 19 September 2016
|
Allergic colitis Microchapters |
|
Diagnosis |
|
Treatment |
|
Allergic colitis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Allergic colitis history and symptoms |
|
Risk calculators and risk factors for Allergic colitis history and symptoms |
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 with onset in the first few weeks of life to as long as 1 year
Usually occurs in formula-fed infants, not reported in breast-fed infants Profuse vomiting (within 2–3 hr) and diarrhea causing profound dehydration and lethargy upon acute exposure Failure to thrive with hypoalbuminemia when chronically exposed Resolution of symptoms with removal of causal food Negative prick skin tests and serum food-specific IgE tests Treatment of acute reactions with vigorous i.v. hydration Reintroduction of the suspected foods under physician supervision with i.v. access Usual resolution of reactivity with age |
| Acute
Symptoms occur with a background chronic exposure
|
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.