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Rice: a common and severe cause of food protein-induced enterocolitis syndrome.

Abstract

OBJECTIVE

To examine and compare the characteristics of food protein-induced enterocolitis syndrome (FPIES) caused by rice and cow's milk/soy.

DESIGN

Retrospective study of children presenting with FPIES to the Children's Hospital at Westmead, NSW, Australia, over a 16-year period.

RESULTS

There were 14 children with 26 episodes of rice FPIES compared with 17 children with 30 episodes of cow's milk (n = 10) or soy (n = 7) FPIES. Children with rice FPIES were more likely to have FPIES caused by other foods (36%) than children with FPIES caused by cow's milk/soy (0%). Rice caused more episodes of FPIES before a correct diagnosis was made (median 4 (range 1-4) vs median 2 (range 1-4)) and triggered more severe reactions with higher rates of intravenous fluid resuscitation (42% vs 17%) than reactions caused by cow's milk/soy.

CONCLUSIONS

This study highlights the emerging importance of rice, a food commonly thought to be "hypoallergenic", as a significant trigger of FPIES. Paediatricians should be aware that rice not only has the potential to cause FPIES, but that such reactions tend be more severe than those caused by cow's milk/soy.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Allergy and Immunology, The Children's Hospital at Westmead, Sydney, Australia.

    ,

    Source

    Archives of disease in childhood 94:3 2009 Mar pg 220-3

    MeSH

    Dietary Proteins
    Enterocolitis
    Female
    Food Hypersensitivity
    Humans
    Infant
    Male
    Milk Hypersensitivity
    Oryza
    Retrospective Studies
    Soy Milk
    Syndrome

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18957470

    Citation

    Mehr, S S., et al. "Rice: a Common and Severe Cause of Food Protein-induced Enterocolitis Syndrome." Archives of Disease in Childhood, vol. 94, no. 3, 2009, pp. 220-3.
    Mehr SS, Kakakios AM, Kemp AS. Rice: a common and severe cause of food protein-induced enterocolitis syndrome. Arch Dis Child. 2009;94(3):220-3.
    Mehr, S. S., Kakakios, A. M., & Kemp, A. S. (2009). Rice: a common and severe cause of food protein-induced enterocolitis syndrome. Archives of Disease in Childhood, 94(3), pp. 220-3. doi:10.1136/adc.2008.145144.
    Mehr SS, Kakakios AM, Kemp AS. Rice: a Common and Severe Cause of Food Protein-induced Enterocolitis Syndrome. Arch Dis Child. 2009;94(3):220-3. PubMed PMID: 18957470.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Rice: a common and severe cause of food protein-induced enterocolitis syndrome. AU - Mehr,S S, AU - Kakakios,A M, AU - Kemp,A S, Y1 - 2008/10/28/ PY - 2008/10/30/pubmed PY - 2009/4/10/medline PY - 2008/10/30/entrez SP - 220 EP - 3 JF - Archives of disease in childhood JO - Arch. Dis. Child. VL - 94 IS - 3 N2 - OBJECTIVE: To examine and compare the characteristics of food protein-induced enterocolitis syndrome (FPIES) caused by rice and cow's milk/soy. DESIGN: Retrospective study of children presenting with FPIES to the Children's Hospital at Westmead, NSW, Australia, over a 16-year period. RESULTS: There were 14 children with 26 episodes of rice FPIES compared with 17 children with 30 episodes of cow's milk (n = 10) or soy (n = 7) FPIES. Children with rice FPIES were more likely to have FPIES caused by other foods (36%) than children with FPIES caused by cow's milk/soy (0%). Rice caused more episodes of FPIES before a correct diagnosis was made (median 4 (range 1-4) vs median 2 (range 1-4)) and triggered more severe reactions with higher rates of intravenous fluid resuscitation (42% vs 17%) than reactions caused by cow's milk/soy. CONCLUSIONS: This study highlights the emerging importance of rice, a food commonly thought to be "hypoallergenic", as a significant trigger of FPIES. Paediatricians should be aware that rice not only has the potential to cause FPIES, but that such reactions tend be more severe than those caused by cow's milk/soy. SN - 1468-2044 UR - https://www.unboundmedicine.com/medline/citation/18957470/Rice:_a_common_and_severe_cause_of_food_protein_induced_enterocolitis_syndrome_ L2 - http://adc.bmj.com/cgi/pmidlookup?view=long&pmid=18957470 DB - PRIME DP - Unbound Medicine ER -