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Milk-sensitive eosinophilic gastroenteritis in a 10-day-old boy
Y Vandenplas1, M Quenon, F Renders
1Academisch Ziekenhuis Kinderen, Vrije Universiteit Brussel, Belgium.
Insights
Eosinophilic gastroenteropathy in infants can present with unexplained crying. A semi-elemental diet successfully treated a breastfed infant, suggesting milk sensitivity.
Area of Science:
- Pediatric Gastroenterology
- Allergy and Immunology
Background:
- Eosinophilic gastroenteropathy is a rare idiopathic gastrointestinal disorder.
- Characterized by eosinophilic infiltration of the GI tract.
Observation:
- A 10-day-old infant presented with inconsolable crying.
- The infant was exclusively breastfed.
Findings:
- Treatment with a semi-elemental diet led to symptom resolution.
- This suggests a potential diagnosis of milk-sensitive enteropathy.
Implications:
- Highlights the importance of considering dietary triggers in infant colic.
- Suggests semi-elemental diets as a therapeutic option for suspected food-sensitive enteropathies in neonates.
Abstract:
Eosinophilic gastroenteropathy in children is a rare, idiopathic disease characterized by eosinophilic infiltration of the gastrointestinal tract. We describe a 10-day-old boy with aspecific clinical manifestations (unconsolable crying). Treatment with a semi-elemental diet was successful, suggesting a "milk-sensitive enteropathy", although he had been exclusively breast fed. Recent literature is reviewed.