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Published in: Italian Journal of Pediatrics 1/2018

Open Access 01-12-2018 | Case report

Metabolic acidosis as Food Protein Induced Enterocolitis Syndrome (FPIES) onset in a newborn

Authors: Antonella Peduto, Mario Rocca, Cinzia De Maio, Federica Gallarotti, Giulia Pomero, Paolo Gancia

Published in: Italian Journal of Pediatrics | Issue 1/2018

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Abstract

Background

FPIES (Food Protein Induced Eneterolitis Syndrome) is a rare non IgE- mediated food allergy, usually affecting infants and children after first months of life. Clinical presentation is heterogeneous, usually characterised by repetitive vomiting and diarrhoea, lethargy, failure to thrive until to dehydration with hypotension and shock. The diagnosis is based on clinical criteria, after excludind other hypothetical conditions. Early recognition of FPIES is essential to set a correct dietatay management that is resolving for the patient.

Case report

We present the case of a 12 days old child who was admitted to the hospital for poor feeding, failure to thrive and severe metabolic acidosis.

Conclusions

The early onset of this case is peculiar and rember us to consider FPIES in differential diagnosis of newborn metabolica acidosis.
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Metadata
Title
Metabolic acidosis as Food Protein Induced Enterocolitis Syndrome (FPIES) onset in a newborn
Authors
Antonella Peduto
Mario Rocca
Cinzia De Maio
Federica Gallarotti
Giulia Pomero
Paolo Gancia
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2018
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-018-0468-y

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