Besin Allerjisinde Saklı Tanı: Besin Proteini İlişkili Enterokolit

Amaç & Hipotez:Besin proteini ilişkili enterokolit sendromu (BPİES) immünoglobulin (Ig) E aracılı olmayan bir gastrointestinal besin hipersensitivitesidir.

📊

Temel Bulgular & Veri:Tanı; hikaye, klinik bulgular ve oral provokasyon testi ile konur.

💡

Sonuç & Katkı:Burada süt bazlı mama alımından sonra IgE aracılı besin allerjisi düşünülen ancak yapılan besin provokasyonu sonrası BPİES tanısı alan 12 aylık erkek hastayı sunacağız.

🔬Tür:Araştırma Makalesi

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Özet

Besin proteini ilişkili enterokolit sendromu (BPİES) immünoglobulin (Ig) E aracılı olmayan bir gastrointestinal besin hipersensitivitesidir. Tanı; hikaye, klinik bulgular ve oral provokasyon testi ile konur. Tedavi eliminasyon diyetidir. Burada süt bazlı mama alımından sonra IgE aracılı besin allerjisi düşünülen ancak yapılan besin provokasyonu sonrası BPİES tanısı alan 12 aylık erkek hastayı sunacağız.

Abstract

Food protein induced enterocolitis syndrome (FPIES) is a non immunoglobulin (Ig) E mediated gastrointestinal food hypersensitivity. Diagnosis is based on the history, clinical features, exclusion of other etiologies and food challenge. Management relies on the avoidance of any offending food. Herein we represent a twelve month-old boy who was believed to have had an IgE mediated food hypersensitivity after the ingestion of cow's milk based formula but who was diagnosed as FPIES after food challenge.

🔖

Bu Makaleye Atıf Yap

ERTUĞRUL, A., ERCAN, N., ÖZMEN, S., ŞİMŞEK, P. O., BOSTANCI, İ. (2016). Besin Allerjisinde Saklı Tanı: Besin Proteini İlişkili Enterokolit. The Journal of Pediatric Research, Cilt: 3 - Sayı: 3, 162–164. https://ajindex.com/articles/362958

📄 Tam Metin PDF Okuyucu

Yeni Sekmede Aç ↗

↗Yeni Sekme

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (10)

Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy 2014;69:1008-25.
Leonard SA, Wegrzyn AN. Food Protein-Induced Enterocolitis Syndrome, Food Protein-Induced Enteropathy, Proctocolitis, and Infantile Colic. In: James JM, Burks W, Eigenmann P (eds). Food Allergy. Philadelphia, Elsevier, 2012;143-63.
Nowak-Wegrzyn A, Food protein-induced enterocolitis syndrome and allergic proctocolitis. Allergy Asthma Proc 2015;36:172-84.
NIAID-Sponsored Expert Panel, Boyce JA, Assa'ad A, et al. Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. J Allergy Clin Immunol 2010;126:1-58.
Sampson HA, Gerth van Wijk R, Bindslev-Jensen C, et al. Standardizing double-blind, placebo-controlled oral food challenges: American Academy of Allergy, Asthma & Immunology-European Academy of Allergy and Clinical Immunology PRACTALL consensus report. J Allergy Clin Immunol 2012;130:1260-74.
Feuille E, Nowak-Wegrzyn A. Definition, etiology, and diagnosis of food protein-induced enterocolitis syndrome. Curr Opin Allergy Clin Immunol 2014;14:222-8.
Sicherer SH, Eigenmann PA, Sampson HA. Clinical features of food protein-induced enterocolitis syndrome. J Pediatr 1998;133:214-9.
Caubet JC, Ford LS, Sickles L, et al. Clinical features and resolution of food protein-induced enterocolitis syndrome: 10-year experience. J Allergy Clin Immunol. 2014;134:382-9.
Nowak-Wegrzyn A, Sampson HA, Wood RA, Sicherer SH. Food protein-induced enterocolitis syndrome caused by solid food proteins. Pediatrics 2003;111:829-35.
Mehr S, Kakakios A, Frith K, Kemp AS. Food protein-induced enterocolitis syndrome: 16-year experience. Pediatrics 2009;123:459-64.