Cow's milk allergy: color Doppler ultrasound findings in infants with hematochezia

Epifânio, Matias; Spolidoro, José Vicente Noronha; Missima, Nathalia Guarienti; Soder, Ricardo Bernardi; García, Pedro Celiny Ramos; Baldisserotto, Matteo

doi:10.1016/j.jped.2013.03.021

Cited by 9 publications

(10 citation statements)

References 18 publications

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“…--Epifanio e col., 2013 [19] Confirm the diagnosis of proctocolite secondary to CMPA in 13 newborns with presence of hematochezia. The test was used after 4 weeks on a diet of exclusion, to assess the tolerability or the persistence of CMPA.…”

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confidence: 91%

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Oral Provocation Test On The Diagnosis Of Cow'S Milk Protein Allergy In Children: Integrative Review

et al. 2015

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Introduction: The cow's milk protein allergy (CMPA) is considered the most prevalent food allergy in children, developing, usually, during the first three years of life and can cause gastrointestinal, respiratory and skin changes. Among the diagnostic methods used, there is the oral food challenge test. However, little used in clinical practice. Objective: Identifying the importance of Oral Provocation Test (OPT) in the diagnostic confirmation of CMPA in children. Method: An integrative review of studies of the last ten years, with six relevant articles related to the theme and used and described the OPT in children with suspected CMPA. Results: The OPT is important to confirm the diagnosis, avoiding prolonged exclusion diets, nutritional risks and unnecessary expenses. The oral test with milk can be adopted as the gold standard and used as a basis for comparative studies that aims to advance the molecular diagnosis, determining the specificities and sensitivities of such tests. It can also be used with other foods. In innovative studies to determine the tolerance of dairy foods, allowing include them in the feeding of these patients during the elimination diet. Conclusion: It is important that the OPT is performed early in the onset of symptoms suggestive of CMPA, in order to avoid prolonged exclusion diets, nutritional risks and unnecessary expenses.

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Section: --mentioning

confidence: 91%

“…Of these, 92.3% (12 patients) had abnormalities at US and USDC. Only one child showed no change in the thickness pattern of the intestinal wall or circulatory loop submucosa that was suggestive of allergic colitis [19].…”

Section: --mentioning

confidence: 96%

Oral Provocation Test On The Diagnosis Of Cow'S Milk Protein Allergy In Children: Integrative Review

et al. 2015

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“…Allergic gastroenterocolitis: Allergic proctocolitis from cow's milk allergy is the main cause of rectal bleeding in infants [73,74] . It occurs from early exposure to heterologous proteins such as cow's milk or cow's milk proteins derived from maternal breastfeeding.…”

Section: A B C Dmentioning

confidence: 99%

“…It occurs from early exposure to heterologous proteins such as cow's milk or cow's milk proteins derived from maternal breastfeeding. Ultrasound shows colitis with bowel wall thickening (≥ 3 mm) and increased vascularity, especially in the descending and sigmoid colon [73] . Increased Doppler vascularity is measured as 5 or more vessels in the bowel wall in a segment of approximately 2 cm 2 [73] .…”

Section: A B C Dmentioning

confidence: 99%

“…Ultrasound shows colitis with bowel wall thickening (≥ 3 mm) and increased vascularity, especially in the descending and sigmoid colon [73] . Increased Doppler vascularity is measured as 5 or more vessels in the bowel wall in a segment of approximately 2 cm 2 [73] . The most pronounced thickening is visualized in the mucosa, and the highest number of vessels is seen in the submucosa.…”

Section: A B C Dmentioning

confidence: 99%

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Abdominal ultrasonography of the pediatric gastrointestinal tract

Gale¹,

Gee²,

Westra³

et al. 2016

WJR

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Ultrasound is an invaluable imaging modality in the evaluation of pediatric gastrointestinal pathology; it can provide real-time evaluation of the bowel without the need for sedation or intravenous contrast. Recent improvements in ultrasound technique can be utilized to improve detection of bowel pathology in children: Higher resolution probes, color Doppler, harmonic and panoramic imaging are excellent tools in this setting. Graded compression and cine clips provide dynamic information and oral and intravenous contrast agents aid in detection of bowel wall pathology. Ultrasound of the bowel in children is typically a targeted exam; common indications include evaluation for appendicitis, pyloric stenosis and intussusception. Bowel abnormalities that are detected prenatally can be evaluated after birth with ultrasound. Likewise, acquired conditions such as bowel hematoma, bowel infections and hernias can be detected with ultrasound. Rare bowel neoplasms, vascular disorders and foreign bodies may first be detected with sonography, as well. At some centers, comprehensive exams of the gastrointestinal tract are performed on children with inflammatory bowel disease and celiac disease to evaluate for disease activity or to confirm the diagnosis. The goal of this article is to review up-to-date imaging techniques, normal sonographic anatomy, and characteristic sonographic features of common and uncommon disorders affecting the gastrointestinal tract in children.

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Consenso sobre el diagnóstico y el tratamiento de la alergia a las proteínas de la leche de vaca de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición

Toca

Morais

Vázquez-Frías

et al. 2022

Revista de Gastroenterología de México

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Cow's milk allergy: color Doppler ultrasound findings in infants with hematochezia

Abstract: Doppler US may be very useful in diagnosing secondary colitis, such as CMA, and to exclude several other abdominal diseases that can emulate this disease.

Cited by 9 publications

References 18 publications

Oral Provocation Test On The Diagnosis Of Cow'S Milk Protein Allergy In Children: Integrative Review

Oral Provocation Test On The Diagnosis Of Cow'S Milk Protein Allergy In Children: Integrative Review

Abdominal ultrasonography of the pediatric gastrointestinal tract

Consenso sobre el diagnóstico y el tratamiento de la alergia a las proteínas de la leche de vaca de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición

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