Clinical diagnosis and management of food protein-induced enterocolitis syndrome

Background & Summary: Food protein-induced enterocolitis syndrome (FPIES) is a delayed food allergy primarily seen in young infants. Vomiting, lethargy, and diarrhea are common symptoms.  Milk and soy proteins in formula are the primary triggers. These infants may develop additional symptoms when solid foods are introduced. Rice is the most common trigger (likely because it is usually the first food). For infants diagnosed with milk or soy FPIES, the authors empirically recommend delaying cow’s milk, soy, grain, legumes and poultry until 1 year of age and starting with yellow fruits and vegetables. The allergy is usually out-grown, but the decision to reintroduce the food trigger should be made by a physician. Exposure can lead to severe symptoms and may need to be performed under medical supervision.
Application to Dietetic Practice: This is a great review article for pediatric dietitians.
Pub Med ID: 23042254

Posted in: Winter2013-Research