The Kobe journal of medical sciences · 2024
A Japanese Case of Food Protein-induced Enterocolitis Syndrome Caused by Multiple Seafoods.
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Satou Taiki, Yamamura Saeko, Takahashi Akari, Tawaza Seiichi, Ozawa Kyoko, Tanaka Yoshiko, Asada Hiroshi
Аннотация
Food protein-induced enterocolitis syndrome (FPIES) caused by fish and others is prevalent in the Mediterranean regions but is less frequently reported in Japan. This case report describes a 3-year-old Japanese girl who developed FPIES triggered by multiple seafoods, including swordfish, cod, and squid. The diagnosis was confirmed through oral food challenge tests (OFC), which led to repeated vomiting and an increase in thymus and activation-regulated chemokine (TARC) levels. This case highlights the importance of considering fish-induced FPIES in the differential diagnosis of recurrent vomiting in children and suggests the potential utility of TARC levels in diagnosing and monitoring FPIES.