Food Protein-Induced Enterocolitis Instead of Necrotizing Enterocolitis? A Neonatal Intensive Care Unit Case Series

Mary W Lenfestey; Diomel de la Cruz; Josef Neu

doi:10.1016/j.jpeds.2018.04.048

Food Protein-Induced Enterocolitis Instead of Necrotizing Enterocolitis? A Neonatal Intensive Care Unit Case Series

J Pediatr. 2018 Sep:200:270-273. doi: 10.1016/j.jpeds.2018.04.048. Epub 2018 May 24.

Authors

Mary W Lenfestey¹, Diomel de la Cruz², Josef Neu³

Affiliations

¹ Division of Pediatric Gastroenterology, University of Florida, Gainesville, FL.
² Department of Pediatrics, Neonatology, University of Florida, Gainesville, FL.
³ Department of Pediatrics, Neonatology, University of Florida, Gainesville, FL. Electronic address: neuj@peds.ufl.edu.

PMID: 29803301
DOI: 10.1016/j.jpeds.2018.04.048

Abstract

Necrotizing enterocolitis is an important disease in infants born premature. However, other disease entities present with similar signs and symptoms. This series reviews 5 atypical cases initially diagnosed as necrotizing enterocolitis that may be more consistent with food protein-induced enterocolitis. Food protein-induced enterocolitis may be underdiagnosed in this population.

Keywords: food allergy; hematochezia; milk-protein; pneumatosis intestinalis; prematurity.

MeSH terms

Diagnosis, Differential
Diagnostic Errors*
Enterocolitis / diagnosis
Enterocolitis / etiology*
Enterocolitis, Necrotizing / diagnosis
Female
Follow-Up Studies
Food Hypersensitivity / complications*
Food Hypersensitivity / diagnosis
Humans
Infant, Newborn
Infant, Premature, Diseases*
Intensive Care Units, Neonatal*
Male
Retrospective Studies