Children with acute food protein‐induced enterocolitis syndrome from Spain and Italy usually tolerate all other food groups

Argíz, Laura; Infante, Sonsoles; Machinena, Adrianna; Bracamonte, Teresa; Echeverría, Luis; Prieto, Ana; Garriga, Teresa; Vila, Leticia; González-Delgado, Purificación; García-Magán, Carlos; González-García, Emilio; Carballeira, Iria; Vázquez-Cortés, Sonia; Mori, Francesca; Barni, Simona; Arasi, Stefania; Pascal, Mariona; Boyle, Robert; Vazquez‐Ortiz, Marta; Herberg, Jethro; Kaforou, Myrsini; García‐Moral, Alba; Moreno, M.V.; Mayorga, Lina; Fernández‐Rivas, Montserrat; Quevedo, Silvia F.; Ovalle, Victoria Wurster; Hernández, Nilda; Gil, L De la Hoz; Moure, J.D.; Salas, Antonio; Gómez-Rial, José; Blasco, Cristina; Figueroa, Arturo; Mangone, Giusi; Pisano, Laura; Boscia, Silvia; Liccioli, Giulia; Fiocchi, Alessandro; Pecora, Valentina; Stasio, Fabiana Di

doi:10.1111/cea.13894

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…For instance, rice has been reported as a common food trigger in Australia 4 and fish as a common food trigger in the Mediterranean area. 10,22 The geographical variations might be explained by different traditions in how and when foods are introduced into the child's diet. 1 In Sweden, infant formulas are often based on cow's milk, and oat is a common ingredient in baby cereal.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, cow's milk is often described as the most or second most common food trigger for acute FPIES, 6,7,18,21 but there are geographical differences. For instance, rice has been reported as a common food trigger in Australia 4 and fish as a common food trigger in the Mediterranean area 10,22 . The geographical variations might be explained by different traditions in how and when foods are introduced into the child's diet 1 .…”

Section: Discussionmentioning

confidence: 99%

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Food protein‐induced enterocolitis syndrome among children in northern Sweden—A retrospective review from 2004–2018

et al. 2023

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Aim To describe clinical presentation and development of tolerance among children with Food protein‐induced enterocolitis syndrome (FPIES) in a population in northern Sweden. Methods A retrospective review of medical records of children presenting with FPIES symptoms from 1 January 2004, to 31 May 2018. Results Sixty children (65% boys) with FPIES were included. The estimated incidence gradually increased to 0.45% in 2016–2017. The most common food triggers were cow's milk (40%), fish (37%) and oat (23%). Symptoms presented in 31 (60%) children before 6 months and in 57 (95%) before 1 year of age. The median age for FPIES diagnosis was 7 (range 3–134) months and for fish FPIES 13 (range 7–134) months. By 3 years of age, 67% of children with FPIES to milk and oat but none of the children with fish FPIES had developed tolerance. Allergic conditions like eczema and asthma were reported in 52% of the children. Conclusion The cumulative FPIES incidence was 0.45% in 2016–2017. Most children presented with symptoms before 1 year of age, but the diagnosis was often delayed, especially for FPIES to fish. Tolerance development occurred at an earlier age when FPIES was triggered by milk and oat compared to fish.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Food protein‐induced enterocolitis syndrome among children in northern Sweden—A retrospective review from 2004–2018

et al. 2023

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“…The observation of differences in allergenicity among fish species has directed researchers toward exploring the tolerance of patients to fish other than the culprit species, with the aim of establishing an alternative option and avoiding a restricted diet [ 3 , 10 , 11 , 16 , 68 , 69 ].…”

Section: The Clinical Approach To Investigation Of Tolerance Across Fish Speciesmentioning

confidence: 99%

“…Most studies do not specify which species of fish is the FPIES culprit under investigation; instead, they refer to it as ‘fish’, ‘cod’, or ‘codfish’ [ 2 , 8 , 70 , 71 , 72 ]. Data mainly from the Mediterranean countries refer to hake as the most commonly offending fish [ 1 , 4 , 5 , 6 , 7 , 11 , 16 ]. Merluccius merluccius is also one of the most frequently involved fish species in adult-onset FPIES [ 15 ].…”

Section: The Clinical Approach To Investigation Of Tolerance Across Fish Speciesmentioning

confidence: 99%

“…The rate of fish as the offending food in children with FPIES varies among geographic locations. Many studies have shown that fish is among the frequent causes of FPIES in the Mediterranean basin, where fish is a common dietary constituent [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 ]. In addition, in adults and adolescents, FPIES may be provoked most commonly by seafoods, including fish [ 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Alternative Fish Species for Nutritional Management of Children with Fish-FPIES—A Clinical Approach

et al. 2021

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In the Mediterranean region, fish is a common cause of food protein-induced enterocolitis syndrome (FPIES) in children. No laboratory tests specific to FPIES are available, and oral food challenge (OFC) is the gold standard for its diagnosis and testing for achievement of tolerance. Children with FPIES to fish are usually advised to avoid all fish, regardless of the species. Fish are typically classified into bony and cartilaginous, which are phylogenetically distant species and therefore contain less cross-reacting allergens. The protein β-parvalbumin, considered a pan-allergenic, is found in bony fish, while the non-allergenic α-parvalbumin is commonly found in cartilaginous fish. Based on this difference, as a first step in the therapeutic process of children with FPIES caused by a certain fish in the bony fish category (i.e., hake, cod, perch, sardine, gilthead sea bream, red mullet, sole, megrim, sea bass, anchovy, tuna, swordfish, trout, etc.), an OFC to an alternative from the category of cartilaginous fish is suggested (i.e., blue shark, tope shark, dogfish, monkfish, skate, and ray) and vice versa. Regarding the increased mercury content in some sharks and other large species, the maximum limit imposed by the European Food Safety Authority (EFSA) for weekly mercury intake must be considered. An algorithm for the management of fish-FPIES, including alternative fish species, is proposed.

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Die ganze Bandbreite der Allergologie

Reese¹

2023

Allergo J

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Children with acute food protein‐induced enterocolitis syndrome from Spain and Italy usually tolerate all other food groups

Cited by 9 publications

References 12 publications

Food protein‐induced enterocolitis syndrome among children in northern Sweden—A retrospective review from 2004–2018

Food protein‐induced enterocolitis syndrome among children in northern Sweden—A retrospective review from 2004–2018

Alternative Fish Species for Nutritional Management of Children with Fish-FPIES—A Clinical Approach

Die ganze Bandbreite der Allergologie

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