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Date: | Thu, 12 Mar 2009 10:12:25 EDT |
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Wow, and how many moms are told to start solids with rice, since it's
"hypoallergenic", especially those putting cereal in bottles, it's usually
rice-based.
~~
Rice: a common and severe cause of food protein-induced enterocolitis
syndrome.
_Mehr SS_
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Mehr%20SS"[Author]&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pu
bmed_RVAbstract) , _Kakakios AM_
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Kakakios%20AM"[Author]&itool=EntrezSystem2.PEntrez.Pu
bmed.Pubmed_ResultsPanel.Pubmed_RVAbstract) , _Kemp AS_
(http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term="Kemp%20AS"[Author]&itool=Entre
zSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstract) .
Department of Allergy and Immunology, The Children's Hospital at Westmead,
Sydney, Australia.
OBJECTIVE: To examine and compare the characteristics of food
protein-induced enterocolitis syndrome (FPIES) caused by rice and cow's milk/soy. DESIGN:
Retrospective study of children presenting with FPIES to the Children's
Hospital at Westmead, NSW, Australia, over a 16-year period. RESULTS: There were 14
children with 26 episodes of rice FPIES compared with 17 children with 30
episodes of cow's milk (n = 10) or soy (n = 7) FPIES. Children with rice FPIES
were more likely to have FPIES caused by other foods (36%) than children with
FPIES caused by cow's milk/soy (0%). Rice caused more episodes of FPIES
before a correct diagnosis was made (median 4 (range 1-4) vs median 2 (range
1-4)) and triggered more severe reactions with higher rates of intravenous fluid
resuscitation (42% vs 17%) than reactions caused by cow's milk/soy.
CONCLUSIONS: This study highlights the emerging importance of rice, a food commonly
thought to be "hypoallergenic", as a significant trigger of FPIES.
Paediatricians should be aware that rice not only has the potential to cause FPIES, but
that such reactions tend be more severe than those caused by cow's milk/soy.
Peace,
Judy
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