Publication Date
2-3-2024
Journal
Allergy, Asthma & Clinical Immunology
DOI
10.1186/s13223-024-00871-1
PMID
38310247
PMCID
PMC10837919
PubMedCentral® Posted Date
2-3-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Food protein-induced enterocolitis syndrome (FPIES), Non-immunoglobulin E (IgE), Vomiting, Okra, Food allergy
Abstract
BACKGROUND: Food protein-induced enterocolitis syndrome (FPIES) is a non-immunoglobulin E (IgE) -mediated food allergy predominantly observed in infants and characterized by the delayed onset of vomiting following ingestion of a trigger food. An increase in research and clinical consideration of FPIES has led to the discovery of unique deviations from the standard FPIES triggers and presentations.
CASE PRESENTATION: A 34-month-old female patient with a history of consuming okra daily presented to medical attention after developing classic FPIES symptoms to okra beginning at 14-months of age.
CONCLUSIONS: Recently, awareness about the varied nature of FPIES clinical presentation has come to light. This case is the first to describe FPIES to the fruit okra that developed over a 12-month time span after previously tolerating the food. This case serves to emphasize the importance of understanding the range of FPIES symptoms to improve recognition and expedite best practice recommendations.
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