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.

journal_name

Arch Dis Child

authors

Mehr SS,Kakakios AM,Kemp AS

doi

10.1136/adc.2008.145144

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

220-3

issue

3

eissn

0003-9888

issn

1468-2044

pii

adc.2008.145144

journal_volume

94

pub_type

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