Colitis alérgica en lactantes exclusivamente amamantados al pecho

Allergic enteritis in children

“…Sierra Salinas et al showed that approximately 80% of children present the first symptoms at the age of 0–3 months [6]. …”

“…in the form of streaks), a perianal intertrigo, slightly loose stools, or mucus in stools [1, 3, 4, 18]. Sierra Salinas et al [6] described 13 cases of infants with allergic enteritis, whose only symptom was passing stools with mucus and blood, while neither the clinical examination nor the laboratory tests showed any health abnormalities. The diagnosis was only confirmed by an endoscopic examination.…”

“…Sierra Salinas et al [6] observed that the sigmoid colon is the most frequent location of endoscopic changes (75% of patients).…”

“…In 5 children a histopathological examination was performed and in all cases the presence of infiltrations of eosinophils was revealed. Sierra Salinas et al [6] observed infiltrations with neutrophils and eosinophils in the bioptates of their patients. Diaz et al [14] found infiltrations of eosinophils in the rectal mucosa in 18 out of 20 infants with lower digestive tract bleeding and confirmed allergy to cow’s milk proteins.…”

“…In 5 of 6 studied infants clinical remission was obtained, but in 1 child the bleeding subsided only after breastfeeding was terminated. Also Sierra Salinas et al [6] showed that in 10 out of 13 cases applying elimination diet in the mothers did not cause symptom remission. An improvement was observed only after a hydrolysate of cow’s milk proteins was used.…”