계명대학교 의학도서관 Repository

Food protein-induced proctocolitis: Is this allergic disorder a reality or a phantom in neonates?

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Author(s)
Jin-Bok HwangJeana Hong
Keimyung Author(s)
Hwang, Jin Bok
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
Korean Journal of Pediatrics
Issued Date
2013
Volume
56
Issue
12
Keyword
Food allergyProctocolitisDietary proteinFood hypersensitivityNeonatesRectal bleeding
Abstract
The etiology of small and fresh rectal bleeding in neonates who are not sick is usually unknown; the only known cause is food protein-induced proctocolitis (FPIPC). It has been recently reported that FPIPC is a rare cause of rectal bleeding in newborns, and most cases have been proved to be due to idiopathic neonatal transient colitis. A recommended strategy for diagnosing suspected FPIPC in neonates is as follows. During the early stage, the etiology of small and fresh rectal bleeding in an otherwise healthy newborn need not be studied through extensive investigations. In patients showing continued bleeding even after 4 days, sigmoidoscopy and rectal mucosal biopsy may be performed. Even if mucosal histological findings indicate a diagnosis of FPIPC, further oral food elimination and challenge tests must be performed sequentially to confirm FPIPC. Food elimination and challenge tests should be included in the diagnostic criteria of FPIPC.
Keimyung Author(s)(Kor)
황진복
Publisher
School of Medicine
Citation
Jin-Bok Hwang and Jeana Hong. (2013). Food protein-induced proctocolitis: Is this allergic disorder a reality or a phantom in neonates? Korean Journal of Pediatrics, 56(12), 514–518. doi: 10.3345/kjp.2013.56.12.514
Type
Article
ISSN
1738-1061
DOI
10.3345/kjp.2013.56.12.514
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36201
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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