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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