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Food protein-induced enterocolitis syndrome (FPIES): current management strategies and review of the literature.
J Allergy Clin Immunol Pract 2013 Jul-Aug; 1(4):317-22JA

Abstract

Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated gastrointestinal food hypersensitivity that manifests as profuse, repetitive vomiting, often with diarrhea, leading to acute dehydration and lethargy or weight loss and failure to thrive if chronic. FPIES is elicited most commonly by milk and soy proteins; however, rice, oat, and other solid foods may also elicit FPIES. Certain FPIES features overlap with food protein-induced enteropathy and proctocolitis, whereas others overlap with anaphylaxis. FPIES is not well recognized among pediatricians and emergency department physicians; the affected children are often mismanaged as having acute viral gastrointestinal illness, sepsis, or surgical disease, delaying diagnosis of FPIES for many months. The aim of this review is to provide case-driven presentation of the features of FPIES. Although randomized clinical trials on management options are missing, the relevant current literature and authors' experience are reviewed in detail.

Authors+Show Affiliations

Division of Allergy and Immunology, Albany Medical College, Albany, NY. Electronic address: jarvink@mail.amc.edu.Division of Pediatric Allergy & Immunology and Jaffe Institute for Food Allergy, The Mount Sinai School of Medicine, New York, NY.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

24565536

Citation

Järvinen, Kirsi M., and Anna Nowak-Węgrzyn. "Food Protein-induced Enterocolitis Syndrome (FPIES): Current Management Strategies and Review of the Literature." The Journal of Allergy and Clinical Immunology. in Practice, vol. 1, no. 4, 2013, pp. 317-22.
Järvinen KM, Nowak-Węgrzyn A. Food protein-induced enterocolitis syndrome (FPIES): current management strategies and review of the literature. J Allergy Clin Immunol Pract. 2013;1(4):317-22.
Järvinen, K. M., & Nowak-Węgrzyn, A. (2013). Food protein-induced enterocolitis syndrome (FPIES): current management strategies and review of the literature. The Journal of Allergy and Clinical Immunology. in Practice, 1(4), pp. 317-22. doi:10.1016/j.jaip.2013.04.004.
Järvinen KM, Nowak-Węgrzyn A. Food Protein-induced Enterocolitis Syndrome (FPIES): Current Management Strategies and Review of the Literature. J Allergy Clin Immunol Pract. 2013;1(4):317-22. PubMed PMID: 24565536.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Food protein-induced enterocolitis syndrome (FPIES): current management strategies and review of the literature. AU - Järvinen,Kirsi M, AU - Nowak-Węgrzyn,Anna, Y1 - 2013/05/31/ PY - 2013/01/11/received PY - 2013/04/16/revised PY - 2013/04/18/accepted PY - 2014/2/26/entrez PY - 2014/2/26/pubmed PY - 2014/5/28/medline KW - Cow's milk KW - Enterocolitis KW - Food allergy KW - Food protein-induced enterocolitis KW - Food-induced KW - Gastrointestinal KW - Multiple foods KW - Solid food KW - Soy SP - 317 EP - 22 JF - The journal of allergy and clinical immunology. In practice JO - J Allergy Clin Immunol Pract VL - 1 IS - 4 N2 - Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated gastrointestinal food hypersensitivity that manifests as profuse, repetitive vomiting, often with diarrhea, leading to acute dehydration and lethargy or weight loss and failure to thrive if chronic. FPIES is elicited most commonly by milk and soy proteins; however, rice, oat, and other solid foods may also elicit FPIES. Certain FPIES features overlap with food protein-induced enteropathy and proctocolitis, whereas others overlap with anaphylaxis. FPIES is not well recognized among pediatricians and emergency department physicians; the affected children are often mismanaged as having acute viral gastrointestinal illness, sepsis, or surgical disease, delaying diagnosis of FPIES for many months. The aim of this review is to provide case-driven presentation of the features of FPIES. Although randomized clinical trials on management options are missing, the relevant current literature and authors' experience are reviewed in detail. SN - 2213-2198 UR - https://www.unboundmedicine.com/medline/citation/24565536/Food_protein_induced_enterocolitis_syndrome__FPIES_:_current_management_strategies_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2213-2198(13)00200-6 DB - PRIME DP - Unbound Medicine ER -