Feeding-based treatment of allergic proctocolitis and associated clinical outcomes

Ahmadipour, Shokoufeh; Najafi, Mehri; Motamed, Farzaneh; Rahmani, Parisa

doi:10.1016/j.clnesp.2020.09.013

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…Breast feeding is still preferred primarily rather than formulas in infants with FA. Formula feeding does not play an essential role in improving the prognosis of the disease (17).…”

Section: Discussionmentioning

confidence: 99%

Bloody Stool in Infants: A Pediatric Allergy View

Atakul

Köse

ATAY>

et al. 2023

Türkiye Çocuk Hast Derg

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Objective: The prevalence of food allergy (FA) has gradually increased. Bloody stool is among the symptoms associated with non-immunoglobulin E (IgE) mediated FA in infants. In our study, we shared the clinical characteristics of the patients who applied to our clinic with bloody stool. Material and Methods: The data of the patients with bloody stool were reviewed. Patients’ characteristics and the time of onset of tolerance in patients with FA were recorded, retrospectively. Results: The 110 patient files were reviewed. 68% of the patients were diagnosed with FA (63 proctocolitis/12 enterocolitis), 22% with an anal fissure, and 9% with nonspecific colitis. The most common causative food was cow milk (57%), the second was the combination of egg and milk (24.2%), and the third was egg (18.2%). The presence of atopic dermatitis (AD) and eosinophil count at the time of admission did not affect tolerance development time but it was shown that skin prick test (SPT) positivity and the high level of total IgE at the time of admission delayed the development of tolerance [(p=0.02), (r=0.510, p=0.009)]. Conclusion: Bloody stool is one of the common complaints in infants. It does not always indicate a FA. The clinic is mild when the underlying disease is non-IgE mediated FA. However, accompanying IgE-type sensitivities negatively affect the prognosis. Elevated total IgE and SPT positivity at the time of diagnosis may give an impression that tolerance of baked products could be delayed in this type of allergy.

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“…Breast feeding is still preferred primarily rather than formulas in infants with FA. Formula feeding does not play an essential role in improving the prognosis of the disease (17).…”

Section: Discussionmentioning

confidence: 99%

Bloody Stool in Infants: A Pediatric Allergy View

Atakul

Köse

ATAY>

et al. 2023

Türkiye Çocuk Hast Derg

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Food protein induced allergic proctocolitis: Definitions, pathophysiology, epidemiology, clinical manifestations

Soyer

2024

Encyclopedia of Food Allergy

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Features of the quality of life in children with food allergy

Фуголь

Strozenko

Lobanov

et al. 2021

RPJ

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Introduction. Food allergy (FA) being a clinically heterogeneous condition, the only treatment for which is a strong elimination diet. The need to exclude one or more foods from the diet, constant monitoring of the diet, anxiety and excitement about the exacerbation of allergic symptoms lead to a significant decrease in the quality of life. Materials and methods. The study included thirty eight 2-7 year children patients with various clinical manifestations of FA (atopic dermatitis, allergic and alimentary colitis, food-borne dermatitis). The comparison group consisted of twenty seven healthy children matched by age. The quality of life in all children was assessed using the Pediatric Quality of Life - PedsQLTM4.0 questionnaire. Results. All FA children patients showed a significant decrease in the quality of life in terms of such indicators as emotional functioning (60.2 in the main group and 83.5 in the comparison group), social functioning (77.9 in the main group and 88.1 in the comparison group), role functioning or kindergarten functioning (FDS) (77.5 in the main group and 84.9 in the comparison group) and psycho-social health (69.3 in the main group and 85.5 in the comparison group). The overall score in assessing the quality of life is significantly lower in the group of FA children (71 in the main group and 87 in the comparison group). Conclusion. To improve the quality of life of children with FA, there is needed a comprehensive individual approach including both psychological support for the child and his family members, and the solution of issues with the provision of «safe» food in children’s educational institutions.

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Feeding-based treatment of allergic proctocolitis and associated clinical outcomes

Cited by 3 publications

References 22 publications

Bloody Stool in Infants: A Pediatric Allergy View

Bloody Stool in Infants: A Pediatric Allergy View

Food protein induced allergic proctocolitis: Definitions, pathophysiology, epidemiology, clinical manifestations

Features of the quality of life in children with food allergy

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