Allergic Enteritis in Children

Overview

Journal Prz Gastroenterol

Publisher Termedia

Specialty Gastroenterology

Date 2017 Mar 25

PMID 28337229

Citations 3

Authors

Mieczyslawa Czerwionka-Szaflarska

Ewa Los-Rycharska

Julia Gawryjolek

Affiliations

Soon will be listed here.

Abstract

The gastrointestinal form of food allergy is very common in children. The most frequently observed types are allergic proctitis and proctocolitis. In most cases the symptoms subside within the first 2 months of life. The babies seem healthy, and the only abnormality is a small amount of blood in stool. Symptoms can also include small intestine inflammation and colitis. Patients may present with irritability, abdominal pain, flatulence, colic, postprandial vomiting, chronic diarrhoea, and hindered physical development. The diagnosis of allergic enteritis is based on the clinical examination and the results of additional tests including an endoscopy of the lower digestive tract with histopathological assessment. Cow's milk proteins are the most common nutrition proteins responsible for the development of the symptoms of allergic enteritis. The most essential method of treating allergic enteritis is the elimination diet. The symptoms should subside within 1-2 weeks from the beginning of the diet.

Citing Articles

The impact of high-IgE levels on metabolome and microbiome in experimental allergic enteritis.

Zubeldia-Varela E, Blanco-Perez F, Barker-Tejeda T, Rojo D, Villasenor A, Islam J Allergy. 2024; 79(12):3430-3447.

PMID: 38932655 PMC: 11657046. DOI: 10.1111/all.16202.

Food protein-induced allergic proctocolitis in infants: Literature review and proposal of a management protocol.

Mennini M, Fiocchi A, Cafarotti A, Montesano M, Mauro A, Villa M World Allergy Organ J. 2020; 13(10):100471.

PMID: 33072241 PMC: 7549143. DOI: 10.1016/j.waojou.2020.100471.

CCR8 leads to eosinophil migration and regulates neutrophil migration in murine allergic enteritis.

Blanco-Perez F, Kato Y, Gonzalez-Menendez I, Laino J, Ohbayashi M, Burggraf M Sci Rep. 2019; 9(1):9608.

PMID: 31270368 PMC: 6610106. DOI: 10.1038/s41598-019-45653-7.

References

Coviello C, Rodriquez D, Cecchi S, Tataranno M, Farmeschi L, Mori A . Different clinical manifestation of cow's milk allergy in two preterm twins newborns. J Matern Fetal Neonatal Med. 2012; 25 Suppl 1:132-3. DOI: 10.3109/14767058.2012.663171. View

Kumar D, Repucci A, Wyatt-Ashmead J, Chelimsky G . Allergic colitis presenting in the first day of life: report of three cases. J Pediatr Gastroenterol Nutr. 2000; 31(2):195-7. DOI: 10.1097/00005176-200008000-00022. View

Sierra Salinas C, Blasco Alonso J, Olivares Sanchez L, Barco Galvez A, del Rio Mapelli L . [Allergic colitis in exclusively breast-fed infants]. An Pediatr (Barc). 2006; 64(2):158-61. DOI: 10.1157/13084176. View

Nowak-Wegrzyn A, Muraro A . Food protein-induced enterocolitis syndrome. Curr Opin Allergy Clin Immunol. 2009; 9(4):371-7. DOI: 10.1097/ACI.0b013e32832d6315. View

Pumberger W, Pomberger G, GEISSLER W . Proctocolitis in breast fed infants: a contribution to differential diagnosis of haematochezia in early childhood. Postgrad Med J. 2001; 77(906):252-4. PMC: 1741985. DOI: 10.1136/pmj.77.906.252. View

Cordero Miranda M, Blandon Vijil V, Reyes Ruiz N, Avila Castanon L, Del Rio Navarro B, Aranda J . [Eosinophilic proctocolitis induced by foods. Report of a case]. Rev Alerg Mex. 2003; 49(6):196-9. View

Fagundes-Neto U, Ganc A . Allergic proctocolitis: the clinical evolution of a transitory disease with a familial trend. Case reports. Einstein (Sao Paulo). 2013; 11(2):229-33. PMC: 4872900. DOI: 10.1590/s1679-45082013000200017. View

Barnard J . Gastrointestinal disorders due to cow's milk consumption. Pediatr Ann. 1997; 26(4):244-50. DOI: 10.3928/0090-4481-19970401-08. View

Molnar K, Pinter P, Gyorffy H, Cseh A, Muller K, Arato A . Characteristics of allergic colitis in breast-fed infants in the absence of cow's milk allergy. World J Gastroenterol. 2013; 19(24):3824-30. PMC: 3699042. DOI: 10.3748/wjg.v19.i24.3824. View

10.

Faber M, Rieu P, Semmekrot B, van Krieken J, Tolboom J, Draaisma J . Allergic colitis presenting within the first hours of premature life. Acta Paediatr. 2005; 94(10):1514-5. DOI: 10.1111/j.1651-2227.2005.tb01831.x. View

11.

Lake A . Dietary protein enterocolitis. Curr Allergy Rep. 2002; 1(1):76-9. DOI: 10.1007/s11882-001-0100-9. View

12.

Sorea S, Dabadie A, Bridoux-Henno L, Balancon-Morival M, Jouan H, Le Gall E . [Hemorrhagic colitis in exclusively breast-fed infants]. Arch Pediatr. 2003; 10(9):772-5. DOI: 10.1016/s0929-693x(03)00299-9. View

13.

Vanderhoof J, Mitmesser S . Probiotics in the management of children with allergy and other disorders of intestinal inflammation. Benef Microbes. 2011; 1(4):351-6. DOI: 10.3920/BM2010.0034. View

14.

Troncone R, Discepolo V . Colon in food allergy. J Pediatr Gastroenterol Nutr. 2009; 48 Suppl 2:S89-91. DOI: 10.1097/MPG.0b013e3181a15d1a. View

15.

Alfadda A, Storr M, Shaffer E . Eosinophilic colitis: epidemiology, clinical features, and current management. Therap Adv Gastroenterol. 2011; 4(5):301-9. PMC: 3165205. DOI: 10.1177/1756283X10392443. View

16.

Villanacci V, Manenti S, Antonelli E, Chiudinelli M, Giuliano V, Bassotti G . Non-IBD colitides: clinically useful histopathological clues. Rev Esp Enferm Dig. 2011; 103(7):366-72. DOI: 10.4321/s1130-01082011000700006. View

17.

Smehilova M, Vlkova E, Nevoral J, Flajsmanova K, Killer J, Rada V . Comparison of intestinal microflora in healthy infants and infants with allergic colitis. Folia Microbiol (Praha). 2008; 53(3):255-8. DOI: 10.1007/s12223-008-0038-6. View

18.

Lucarelli S, Di Nardo G, Lastrucci G, DAlfonso Y, Marcheggiano A, Federici T . Allergic proctocolitis refractory to maternal hypoallergenic diet in exclusively breast-fed infants: a clinical observation. BMC Gastroenterol. 2011; 11:82. PMC: 3224143. DOI: 10.1186/1471-230X-11-82. View

19.

Muller S, Schwab D, Aigner T, Kirchner T . [Allergy-associated colitis. Characterization of an entity and its differential diagnoses]. Pathologe. 2003; 24(1):28-35. DOI: 10.1007/s00292-002-0604-7. View

20.

Yu M, Tsai C, Yang Y, Yang S, Wang L, Lee C . Allergic colitis in infants related to cow's milk: clinical characteristics, pathologic changes, and immunologic findings. Pediatr Neonatol. 2013; 54(1):49-55. DOI: 10.1016/j.pedneo.2012.11.006. View