Table 4.
Diagnostic criteria for interpretation of OFCs in patients presenting with history of possible or confirmed FPIES
Major Criterion (1) | Minor Criteria (≥2) | |
---|---|---|
FPIES OFC | Vomiting 1–4 hr after ingestion of food (absence of classic IgE-mediated allergic skin or respiratory symptoms) | Lethargy |
Pallor | ||
Diarrhea in 24h (usually 5–10h) | ||
Hypotension | ||
Diagnosis for positive OFC*: 1 Major and ≥2 Minor criteria | Hypothermia | |
Increased neutrophil count of ≥1500 neutrophils above the baseline count |
OFC = Oral food challenge; FPIES = food protein–induced enterocolitis syndrome; IgE = immunoglobulin E.
Adapted with permission from Ref. 1.