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Food Protein-induced Enterocolitis Mimicking Necrotizing Enterocolitis in a Premature Infant: Case Report

Perinatology 2020년 31권 3호 p.151 ~ 155
이선영, 조재구, 나서희, 김묘징,
소속 상세정보
이선영 ( Lee Sun-Young ) - Dong-A University College of Medicine Department of Pediatrics
조재구 ( Jo Chae-Ku ) - Dong-A University College of Medicine Department of Pediatrics
나서희 ( Rha Seo-Hee ) - Dong-A University College of Medicine Department of Pathology
김묘징 ( Kim Myo-Jing ) - Dong-A University College of Medicine Department of Pediatrics

Abstract


Food protein-induced enterocolitis (FPIES) is not well documented in newborns. Although FPIES is rare in premature infants, it may occasionally be confused with necrotizing enterocolitis (NEC). This is particularly true for low birth weight infants admitted to the neonatal intensive care unit. We report a case of cow's milk protein-induced enterocolitis mimicking recurrent NEC in a premature infant. The patient presented bloody stools, abdominal distension, pneumatosis intestinalis, peripheral eosinophilia, and successful resolution of the symptoms upon modification of the diet to an amino acid-based formula. We aim to highlight that although the prevalence of FPIES is relatively rare in premature infants, clinicians should lead to consideration of FPIES in NEC-like illness.

키워드

Food allergy; Milk proteins; Necrotizing enterocolitis; Premature infant

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