Table 1.
Clinical manifestations of food protein-induced enterocolitis syndrome according to selected studies published from 2003 to 2013
Study/author | Study duration | No. of patients | No. of FPIES episodes | Onset of vomiting | Signs and symptoms | Laboratory findings |
Nowak et al. [6] | 5 yr | 14 | 42 | <10 min–3 h; avg 2 h | Vomiting 95%, diarrhea 47%, lethargy 40%, melena 11% hypotension 7% | Increased polymorphonuclear cells; range 700–15000 cells/mm3, median increase 4500 cells/mm3 |
Hwang et al. [7] | 3 yr | 16 | N/A | N/A | Poor weight gain <10 g/day | Hypoalbuminemia; range 3.3–4.2 g/dl, avg <3.6 g/dl; eosinophiia; range 100–520 cells/mm3; thrombocytosis; range 424–844 × 103/μl; methemoglobinemia 18% |
Hwang et al. [8] | 5 yr | 23 | 27 | 1 h–4 h; avg 2 h | Vomiting 100%, diarrhea 33%, lethargy 100%, hypotension 11%, cyanosis 22% | Methemoglobinemia 13% |
Mehr et al. [9] | 16 yr | 35 | 66 | 20 min–6 h; avg 1.8 h | Vomiting 100%, diarrhea 24%, lethargy 84%, pallor 66%, hypothermia 24% | Neutrophilia; range 370–16500 cells/mm3, avg 10100 cells/mm3; thrombocytosis (>500 × 103/ml) 63% |
Katz et al. [10] | 2 yr | 44 | 28 | 30 min–3 h; avg 2 h | Vomiting 100%, diarrhea 25%, lethargy 77%, pallor 14%, melena 4.5% | N/A |
Sopo et al. [11] | 7 yr | 66 | 165 | 30 min–4 h; avg 2 h | Vomiting 98%, diarrhea 54%, pallor 80%, hypotension 77% | N/A |
Ruffner et al. [12] | 5 yr | N/A | 462 | 2–6 h | Vomiting alone 45.3%, vomiting and diarrhea 54.7%, lethargy/pallor/hypotension/ cyanosis/dehydration 5.1% | N/A |
FPIES, food protein-induced enterocolitis syndrome; yr, year.