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Children with acute food protein-induced enterocolitis syndrome from Spain and Italy usually tolerate all other food groups
Laura Argiz 1 , Sonsoles Infante 2 , Adrianna Machinena 3 , Teresa Bracamonte 4 , Luis Echeverria 4 , Ana Prieto 5 , Teresa Garriga 6 , Leticia Vila 7 , Purificación Gonzalez-Delgado 8 , Carlos Garcia-Magan 9 , Emilio Garcia 10 , Iria Carballeira 10 , Sonia Vazquez-Cortes 11 , Francesca Mori 12 , Simona Barni 12 , Stefania Arasi 13 , Mariona Pascal 14 15 , Robert J Boyle 16 , Marta Vazquez-Ortiz 16 , BIO-FPIES study network
To the Editor,
Acute food protein-induced enterocolitis syndrome (‘FPIES’) is a potentially severe type of non-IgE-mediated food allergy affecting mainly infants usually when foods are introduced.1
Acute FPIES triggered by multiple unrelated foods (‘multiple food FPIES’) has been reported in up to two thirds of patients, particularly in the USA.2, 3 FPIES reactions are often traumatic experiences for parents, and weaning leads to significant anxiety, as there is no test to identify safe new foods.
This has led to complex weaning recommendations in children with FPIES in an attempt to support parents.4 However, evidence suggests that multiple food FPIES is rare in other regions, such as Southern Europe,5, 6 which questions the applicability of such weaning advice in this population. Studies including a detailed dietary history in children with FPIES are lacking.
CITA DEL ARTÍCULO Clin Exp Allergy. 2021 Sep;51(9):1238-1241. doi: 10.1111/cea.13894. Epub 2021 May 19
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