P16: FOOD PROTEIN INDUCED ENTEROCOLITIS SYNDROME ORAL FOOD CHALLENGE AUDIT, WESTERN AUSTRALIA

AbstractWe studied the introduction rate after a negative challenge to mixed tree nut biscuit. This is a retrospective review of patients who underwent and passed mixed tree nut biscuit challenges performed at Princess Margaret Hospital (PMH) between 2016 and 2018. Follow-up phone calls were made to families to ascertain if the tree nuts included in the tree nut biscuit were still included in the child’s diet 1 to 3 years following negative oral food challenge (OFC). A total of 162 children underwent mixed tree nut biscuit challenge between 2016 and 2018 at Princess Margaret Hospital, Perth, Western Australia. A total of 141 (87%) passed mixed tree nut biscuit challenge. Of the 133 children that were contacted (8 children could not be contacted), 104 children still included some or all of the challenge nuts in the child’s diet; with 24 children completely eliminating the challenge nuts (18%), 5 children eliminated some of the challenge nuts (3.5%). We found a high introduction rate (82%); however, some families may require more support to maintain the tree nuts in the child’s diet following a negative OFC.

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Reply to “Oral food challenge protocol for food protein-induced enterocolitis syndrome: time for a change?”

The Journal of Allergy and Clinical Immunology In Practice ◽

10.1016/j.jaip.2020.06.022 ◽

2020 ◽

Vol 8 (8) ◽

pp. 2843-2844

Author(s):

Melanie Ruffner ◽

Jonathan Spergel ◽

Antonella Cianferoni ◽

Terri Faye Brown-Whitehorn

Keyword(s):

Food Challenge ◽

Oral Food Challenge ◽

Food Protein

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Increased serum cortisol on oral food challenge in infants with food protein-induced enterocolitis syndrome

Pediatrics International ◽

10.1111/ped.13449 ◽

2018 ◽

Vol 60 (1) ◽

pp. 13-18 ◽

Cited By ~ 7

Author(s):

Masaki Shimomura ◽

Yasunori Ito ◽

Hiroki Tanaka ◽

Takaaki Meguro ◽

Mitsuaki Kimura

Keyword(s):

Food Challenge ◽

Serum Cortisol ◽

Oral Food Challenge ◽

Food Protein

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Prospective follow-up oral food challenge in food protein-induced enterocolitis syndrome

Archives of Disease in Childhood ◽

10.1136/adc.2008.143289 ◽

2008 ◽

Vol 94 (6) ◽

pp. 425-428 ◽

Cited By ~ 89

Author(s):

J-B Hwang ◽

S M Sohn ◽

A S Kim

Keyword(s):

Food Challenge ◽

Oral Food Challenge ◽

Food Protein

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Oral Food Challenge in Food Protein-Induced Enterocolitis Syndrome by Fish: Is There Any Room for Improvement?

International Archives of Allergy and Immunology ◽

10.1159/000497486 ◽

2019 ◽

Vol 179 (3) ◽

pp. 215-220 ◽

Cited By ~ 4

Author(s):

Sonsoles Infante ◽

Guadalupe Marco-Martín ◽

José Manuel Zubeldia ◽

Victoria Fuentes-Aparicio ◽

Alberto Alvarez-Perea ◽

...

Keyword(s):

Food Challenge ◽

Oral Food Challenge ◽

Food Protein

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A modified oral food challenge in children with food protein‐induced enterocolitis syndrome

Clinical & Experimental Allergy ◽

10.1111/cea.13477 ◽

2019 ◽

Vol 49 (12) ◽

pp. 1633-1636 ◽

Cited By ~ 7

Author(s):

Simona Barni ◽

Lucrezia Sarti ◽

Francesca Mori ◽

Lucia Liotti ◽

Neri Pucci ◽

...

Keyword(s):

Food Challenge ◽

Oral Food Challenge ◽

Food Protein

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Criteria for the suspicion and diagnosis of acute food protein-induced enterocolitis syndrome

Allergologia et Immunopathologia ◽

10.15586/aei.v49i2.18 ◽

2021 ◽

Vol 49 (2) ◽

pp. 126-128

Author(s):

Stefano Miceli Sopo

Keyword(s):

Prospective Study ◽

Diagnostic Criteria ◽

Food Challenge ◽

Oral Food Challenge ◽

Food Protein ◽

The Past ◽

The Moment ◽

A Prospective Study

Over the past decades, several panels of criteria have been proposed for the diagnosis of acute food protein-induced enterocolitis syndrome (FPIES). However, none of them have been validated by a prospective study. Such a study is not easy to carry out, because even the children who most of us would certainly believe to be suffering from acute FPIES, possibly serious, should be subject to oral food challenge (OFC). Moreover, the presence of different phenotypes of the acute FPIES may mean that some of them do not fit into any of the above criteria panels. Particularly, Vazquez-Ortiz et al. reported that milder cases (1/4 in their Southern European cohort) might not be captured by the 2017 Consensus diagnostic criteria, which are the most shared till date. Those authors, as well as all interested researchers, claim for accurate diagnostic bio-markers which, however, are not available at the moment.

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