Recurring pain in right iliac fossa in children: report of two cases associated with food allergies
© Tenorio et al; licensee BioMed Central Ltd. 2015
Published: 8 April 2015
To present two cases of food allergy with unusual presentation and discuss the diagnostic approach in children
Case # 1: Girl, 11, afflicts right lower quadrant pain for 3 months. Background
Prematurity, atopy (dermatitis, rhinitis, colic). Sister and atopic mother. Physical examination: exquisite tenderness in the right iliac fossa, bilateral Cord colic pain. Dry skin. Laboratori data:all hematology is normal. Examination of normal urine, serial parasitological (-). EDN (eosinophil derived neurotoxin) fecal> 3210 ng / ml (VN <360NG / ml). Colonoscopy:ILNH, ileal lymphoid nodular hyperplasia. Food allergy Score: 9
Case No. 2: Boy, 9 years. Pain in right lower quadrant , abdominal pain for three months located in the right iliac fossa, a predominantly nocturnal and radiating to right thigh. A child psychiatrist prescribes antidepressants. Personal Background
Mixed Breastfeeding from birth. Atopy: asthma, atopicdermatitis, infantcolic. Family history: Mother allergic to foods, presents father rhinitis. Physical examination: bilateral colic Rope. Tenderness in the right iliac fossa. Lab: Immunoglobulin E 160.5 IU / mL (normal <90) Colonoscopy lymphoid hyperplasia in distal ileum. Score of foodallergy: 11.
Both cases improve with hypoallergenic diet.
The presence of lymphoid nodular hyperplasia and family and / or personal history of atopy severe gastrointestinal symptoms may be due to food allergy. The elimination diet is diagnostic and therapeutic turn.
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