Previous research has focused on food protein-induced enterocolitis syndrome (FPIES) cases triggered by milk and soy, but cases triggered by rice have also been reported.
Researchers from the University of Sydney conducted a retrospective study of children who presented with FPIES and compared cases triggered by rice with those triggered by cow’s milk or soy.
Over the period studies, 14 cases were triggered by rice, compared with seven triggered by cows’ milk and 10 triggered by soy. In addition to causing more cases of FPIES, rice was also associated with more severe reactions.
The researchers say that physicians should be aware that rice is emerging as an important trigger of FPIES. Multiple presentations before diagnosis are common and early diagnosis would eliminate repeated reactions and unnecessary reactions, they say.
tom.moberly@haymarket.com
Archives of Disease in Childhood Online
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