Managing Allergy

What a great find!  An entire book to view, and a great resource on Allergy in general! Find it here: Managing Allergy.

Chapter 10 (pg. 157) is the overview on Food Allergy.  Each chapter is divided to describe allergies in depth, all complete with their own reference section!   

On pg. 165, the discussion of FPIES.   It defines it in a table (of IgE, Non-IgE and mixed allergy) of disease manifestations, which include:"Irritability, excessive, vigorous vomiting and diarrhea a few hours after ingestion of the allergen, hypotension, lethargy, hyponatremia, acidosis, a "left-shift", and methemoglobinaemia may occur.  Stool smears may reveal blood, leukocytes or eosinophils.   A more indolent course, with failure to thrive, hypoalbuminaemia, chronic vomitting and diarrhea may occur for young infants chronically eating the allergen." 

It continues and devotes a paragraph on pg.167 for an action plan, ER treatment, resolutions of FPIES, triggers, and recommendations for challenges (.3-.6g of protein per kg of body weight to be fed in 1-2 doses...with IV inserted prior). 

I think it is a good synopsis of FPIES (especially for a book copyrighted in 1999).   I like that it gives both classic and chronic symptoms in the disease manifestations table.  Putting together more of what is known about FPIES, from research and from moms is what will help guide what should be researched next.  But if this much was known in 1999....why don't more doctors already know about it?