Bloody Stool in Infants: A Pediatric Allergy View

Authors : Gizem ATAKUL, Seda ŞİRİN, Özge ATAY, Özge KANGALLI BOYACIOĞLU, Serdar AL, Suna ASİLSOY, Nevin UZUNER, Özkan KARAMAN

Pages : 304-308

Doi:10.12956/tchd.1198501

View : 121 | Download : 126

Publication Date : 2023-07-25

Article Type : Research Paper

Abstract :Objective: The prevalence of food allergy insert ignore into journalissuearticles values(FA); has gradually increased. Bloody stool is among the symptoms associated with non-immunoglobulin E insert ignore into journalissuearticles values(IgE); mediated FA in infants. In our study, we shared the clinical characteristics of the patients who applied to our clinic with bloody stool. Material and Methods: The data of the patients with bloody stool were reviewed. Patients’ characteristics and the time of onset of tolerance in patients with FA were recorded, retrospectively. Results: The 110 patient files were reviewed. 68% of the patients were diagnosed with FA insert ignore into journalissuearticles values(63 proctocolitis/12 enterocolitis);, 22% with an anal fissure, and 9% with nonspecific colitis. The most common causative food was cow milk insert ignore into journalissuearticles values(57%);, the second was the combination of egg and milk insert ignore into journalissuearticles values(24.2%);, and the third was egg insert ignore into journalissuearticles values(18.2%);. The presence of atopic dermatitis insert ignore into journalissuearticles values(AD); and eosinophil count at the time of admission did not affect tolerance development time but it was shown that skin prick test insert ignore into journalissuearticles values(SPT); positivity and the high level of total IgE at the time of admission delayed the development of tolerance [insert ignore into journalissuearticles values(p=0.02);, insert ignore into journalissuearticles values(r=0.510, p=0.009);]. Conclusion: Bloody stool is one of the common complaints in infants. It does not always indicate a FA. The clinic is mild when the underlying disease is non-IgE mediated FA. However, accompanying IgE-type sensitivities negatively affect the prognosis. Elevated total IgE and SPT positivity at the time of diagnosis may give an impression that tolerance of baked products could be delayed in this type of allergy.
Keywords : Atopik dermatit, Besin alerjisi, Gastrointestinal hemoraji, İnfant, Proktokolit