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Rice Linked To Food Protein Induced Enterocolitis Syndrome (FPIES) in Children
Rice Linked To Food Protein Induced Enterocolitis Syndrome (FPIES) in Children

(October 31, 2008 - Insidermedicine)

Rice is a common trigger of food protein induced enterocolitis syndrome (FPIES) in children, according to research published in the Archives of Disease in Childhood.

Here is some information about FPIES:

•    It is a non-IgE-mediated allergic disorder triggered by the ingestion of certain food proteins.

•    In children under 12 months of age, the syndrome usually presents as vomiting and/or diarrhea approximately 2 hours after eating.

•    Until recently, FPIES was believed to be caused only by milk or soy proteins, but has also been linked to meats, vegetables, and grains.

Australian researchers conducted a retrospective study of children who presented with FPIES at the Children’s Hospital at Westmead over a 16-year period.

They identified 31 children who experienced 56 episodes of FPIES. Among these, 14 children experienced 26 episodes attributed to rice. The others were attributed to milk and/or soy. Children with rice FPIES were more likely to have FPIES caused by other foods. In addition, rice caused about twice as many episodes of FPIES before a correct diagnosis was made and was associated with more severe symptoms.

Today’s research highlights the role that rice, a food commonly thought of as “hypoallergenic” and frequently recommended as a first food, plays in FPIES.

For Insidermedicine In Depth, I'm Dr. Susan Sharma.