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Experience in management of a child with enterocolitis syndrome induced by proteins from products of complementary foods

https://doi.org/10.46563/1560-9561-2023-26-1-75-78

Abstract

Enterocolitis syndrome induced by dietary proteins occupies a special place in the structure of allergic diseases in children of the first years of life. This is primarily due to the difficulties of diagnosing the syndrome, since there are currently no specific laboratory tests confirming the diagnosis, and the similarity of the clinical picture with the symptoms of other diseases of the gastrointestinal tract. Most often, the diagnosis is established according to the clinical picture and is confirmed by a positive provocative test with a suspected food trigger. The article briefly describes the enterocolitis syndrome induced by dietary proteins, and presents a clinical case of the syndrome in a child of 11 months. This syndrome was suspected at the first appointment of a nutritionist-allergist after analyzing the clinical picture of the disease and confirmed at a repeat appointment after 1 month. The significant role in the diagnosis by the provocative introduction of a causally significant product is shown, as well as the importance of prescribing an elimination diet to achieve remission of the disease.

Contribution:
Galitskaya M.G., Ereshko O.A., Makarova S.G. — research concept and design;
Galitskaya M.G. — collection and analysis of data;
Galitskaya M.G., Ereshko O.A., Lebedeva A.M. — writing the text;
Makarova S.G. — editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: December 08, 2022
Accepted: January 17, 2023
Published: February 28, 2023

About the Authors

Marina G. Galitskaya
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation
Russian Federation

MD, PhD, senior researcher of the Department of preventive pediatrics of National Medical Research Center for Children’s Health, Moscow, 119991, Russian Federation.

e-mail: galitskaya.mg@nczd.ru 



Svetlana G. Makarova
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation; M.V. Lomonosov Moscow State University
Russian Federation


Oksana A. Ereshko
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation
Russian Federation


Ayina M. Lebedeva
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation; Federal Research Centre of Nutrition, Biotechnology and Food Safety
Russian Federation


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Review

For citations:


Galitskaya M.G., Makarova S.G., Ereshko O.A., Lebedeva A.M. Experience in management of a child with enterocolitis syndrome induced by proteins from products of complementary foods. Russian Pediatric Journal. 2023;26(1):75-78. (In Russ.) https://doi.org/10.46563/1560-9561-2023-26-1-75-78

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ISSN 1560-9561 (Print)
ISSN 2413-2918 (Online)