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Area of Science:

  • Pediatrics
  • Allergology
  • Gastroenterology

Background:

  • Mothers frequently administer bee pollen to children to enhance immune function.
  • Limited scientific literature exists on the potential adverse effects of bee pollen in pediatric populations.
  • This study addresses the gap by presenting a case of bee pollen-induced allergic eosinophilic gastropathy.

Observation:

  • A 5-year-old child presented with abdominal pain, edema, and hypoproteinemia.
  • The child exhibited urticaria and elevated eosinophil counts (1,800/mm³).
  • Daily bee pollen consumption was identified as a potential trigger during detailed history taking.

Findings:

  • Endoscopic examination and biopsy revealed abundant eosinophils throughout the gastric mucosa, confirming allergic eosinophilic gastropathy.
  • Discontinuation of bee pollen led to rapid symptom resolution, including the disappearance of abdominal pain and edema within five days.
  • Serum albumin and total eosinophil levels normalized within four weeks after cessation of bee pollen intake.

Implications:

  • This case underscores the potential for bee pollen to induce severe allergic reactions, specifically eosinophilic gastropathy, in children.
  • Healthcare providers should consider bee pollen as a potential allergen in pediatric cases of unexplained gastrointestinal symptoms and hypereosinophilia.
  • Further research is warranted to investigate the immunological mechanisms and prevalence of adverse reactions to bee pollen in children.