Cow's milk allergy presenting Hirschsprung's disease-mimicking symptoms.
The authors present a neonatal case of allergic colitis, which manifested the difficulty of spontaneous defecation and irregular narrowing of distal rectum in contrast enema. Rectal suction biopsy showed positive acetylcholinesterase activity. These clinical, radiological and histological findings were indistinguishable from Hirschsprung's disease. Gastrointestinal symptoms were improved by the cessation of cow's milk formula. The present findings may impact on the less recognizable gastrointestinal manifestation of allergic colitis.
Kawai
Masanobu
M
Department of Pediatric Gastroenterology and Nutrition, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, 594-1101 Osaka, Japan.
Kubota
Akio
A
Ida
Shinobu
S
Yamamura
Yukiyo
Y
Yoshimura
Norikazu
N
Takeuchi
Makoto
M
Nakayama
Masahiro
M
Okuyama
Hiroomi
H
Oue
Takaharu
T
Kawahara
Hisayoshi
H
Okada
Akira
A
D000818:Animals; D002417:Cattle; D003092:Colitis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D006627:Hirschsprung Disease / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007223:Infant; D008297:Male; D016269:Milk Hypersensitivity / Q000150:complications / Q000175:diagnosis* / Q000473:pathology