A case report on neonatal allergic colitis with similar symptoms to NEC and literature review

WEI Ming; LI Wen-bin; CHEN Pei-juan; CHANG Li-wen

doi:10.11852/zgetbjzz2017-25-12-25

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Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (12) : 1277-1280. DOI: 10.11852/zgetbjzz2017-25-12-25

A case report on neonatal allergic colitis with similar symptoms to NEC and literature review

WEI Ming, LI Wen-bin, CHEN Pei-juan, CHANG Li-wen

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Abstract

Objective To analyze clinical manifestations of neonatal allergic colitis,in order to improve the diagnosis and treatment compared with neonatal necrotizing enterocolitis (NEC). Methods Clinical data of a case with neonatal allergic colitis mimicking NEC was retrospectively analyzed and relevant studies were reviewed. Results A 44-day-old infant developed abdominal distension,vomiting,bloody stool over and over again since totally artificial feeding at 4 days of age with abdominal radiological findings similar with NEC,and clinical symptoms relieved after fasting.Further foodborne allergens test showed cow's milk protein allergy.All symptoms disappeared after anti-infection and amino acid-based formula (AAF) feeding. Conclusions Neonatal allergic colitis may show similar symptoms with NEC,so clinical staff should pay attention to indentify different diagnosis.

Key words

neonate / allergic colitis / necrotizing enterocolitis

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WEI Ming, LI Wen-bin, CHEN Pei-juan, CHANG Li-wen. A case report on neonatal allergic colitis with similar symptoms to NEC and literature review[J]. Chinese Journal of Child Health Care. 2017, 25(12): 1277-1280 https://doi.org/10.11852/zgetbjzz2017-25-12-25

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