[Eosinophilic proctocolitis induced by foods. Report of a case].
The food-induced eosinophilic proctocolitis is a major cause of blood-tinged stools and appears in the first two months of life. The infant is generally described as well, but the clinical features and laboratory results are often nonspecific. We present an early infant with fresh blood stools at 50 days. The colonoscopy and biopsy of the rectum and lower sigmoid revealed lymphoid nodular hyperplasia of the submucose and eosinophil infiltration (40 to 50 per high power field) of the lamina propria and intraepithelial. Elimination of the offending protein from the diet, through the use of an extensively hydrolyzed casein-based formula and soy, lead to clinical resolution of bleeding at 48 hours. We made a review of the case.
Cordero Miranda
Miguel Angel
MA
Departamento de alergia e inmunología clinica, Hospital Infantil de México Federico Gómez.
Blandón Vijil
Virginia
V
Reyes Ruiz
Norma Isabel
NI
Avila Castañón
Lourdes
L
del Río Navarro
Blanca Estela
BE
García Aranda
José Alberto
JA
Blanco Rodríguez
Gerardo
G
Sienra Monge
Juan José Luis
JJ
D003092:Colitis / Q000209:etiology*; D004802:Eosinophilia / Q000209:etiology*; D005512:Food Hypersensitivity / Q000150:complications* / Q000178:diet therapy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000009:adverse effects*; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008894:Milk Proteins / Q000008:administration & dosage; D011349:Proctitis / Q000209:etiology*; D019310:Pseudolymphoma / Q000209:etiology / Q000473:pathology; D030262:Soybean Proteins / Q000008:administration & dosage
D008894:Milk Proteins; D030262:Soybean Proteins