[Hemorrhagic colitis in exclusively breast-fed infants].
BACKGROUND
Authors report clinical, biological and endoscopic data of six children aged less 3 months with bloody stools while they were exclusively breast-fed.


RESULTS
Two girls and four boys aged 1 to 2 months presented with isolated but recurrent rectal bleeding. All were explored by fiberoptic rectosigmoidoscopy between 1 and 3,2 months. Macroscopic aspects were congestion (6 cases), petechial and ecchymotic (4 cases), with normal mucosal areas (5 cases). Histopathology showed eosinophilic infiltrates in all 5 children with rectal biopsy. Evolution was satisfactory after cow's milk protein exclusion in maternal diet for five children and after weaning in 1. All children were weaned with protein hydrolysate. Cow's milk protein were later introduced without adverse reactions at 6 to 23 months.


CONCLUSIONS
Food allergy can be considered in proctocolitis including exclusive breast-fed children. Evolution after maternal diet is, as usual, simple.
Sorea
S
S
Département de médecine de l'enfant et de l'adolescent, hôpital Sud, 16, boulevard de Bulgarie, 35056 Rennes cedex, France.
Dabadie
A
A
Bridoux-Henno
L
L
Balançon-Morival
M
M
Jouan
H
H
Le Gall
E
E
D000328:Adult; D000485:Allergens / Q000009:adverse effects*; D000818:Animals; D001942:Breast Feeding; D002417:Cattle; D003092:Colitis / Q000209:etiology* / Q000473:pathology; D004802:Eosinophilia / Q000209:etiology / Q000473:pathology; D005260:Female; D005512:Food Hypersensitivity / Q000150:complications* / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007223:Infant; D007225:Infant Food; D007231:Infant, Newborn; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D016269:Milk Hypersensitivity / Q000178:diet therapy; D008894:Milk Proteins / Q000009:adverse effects* / Q000493:pharmacokinetics; D008895:Milk, Human; D012007:Rectum / Q000473:pathology
D000485:Allergens; D008894:Milk Proteins
Colite hémorragique chez les nourrissons en allaitement maternel exclusif.