Kakiuchi Toshihiko, Nakayama Aiko, Abe Jun, Matsuo Muneaki
Department of Pediatrics, Faculty of Medicine, Saga University, Japan.
Department of Pediatrics, Karatsu Red Cross Hospital, Japan.
Intern Med. 2020 Jun 1;59(11):1379-1385. doi: 10.2169/internalmedicine.4264-19. Epub 2020 Feb 26.
A 13-year-old boy presented to the hospital with a 3-month history of repeated vomiting and abdominal pain. Results of esophagogastroduodenoscopy revealed a diagnosis of eosinophilic gastroenteritis (EGE). We initiated a short-term six-food elimination diet (SFED) and reintroduction therapy over five days. On the third day of SFED, the patient's abdominal symptoms completely disappeared. However, he experienced unbearable abdominal pain six hours after the reintroduction of milk and peanuts. His symptoms remain completely controlled at present after eliminating milk and peanut products. The SFED and reintroduction therapy for EGE may be effective even for short-term treatments over a five-day period.
一名13岁男孩因反复呕吐和腹痛3个月入院。食管胃十二指肠镜检查结果确诊为嗜酸性胃肠炎（EGE）。我们启动了为期五天的短期六种食物排除饮食（SFED）和重新引入疗法。在SFED的第三天，患者的腹部症状完全消失。然而，在重新引入牛奶和花生六小时后，他经历了难以忍受的腹痛。在消除牛奶和花生制品后，他目前的症状仍得到完全控制。EGE的SFED和重新引入疗法即使在为期五天的短期治疗中也可能有效。
