Richards D G, Somers S, Issenman R M, Stevenson G W
Department of Radiology, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Radiology. 1988 Jun;167(3):721-3. doi: 10.1148/radiology.167.3.3363128.
Positive radiologic findings were identified in the small and large bowels in three infants with various gastrointestinal manifestations of cow's milk protein/soy protein allergy, which was diagnosed on the basis of clinical features and histologic findings. Small bowel findings were thickened valvulae conniventes (plicae circulares), a ribbon-like ileum, and a thickened bowel wall. Narrowing, thumbprinting, and spasm were seen in the large bowel. These cases were seen at intervals far enough apart to exclude an endemic infection. The diagnosis of food protein allergy should be considered when diffuse small bowel disease or colitis is identified in an infant.
在三名患有牛奶蛋白/大豆蛋白过敏各种胃肠道表现的婴儿中，在小肠和大肠发现了阳性放射学结果，这是根据临床特征和组织学结果诊断出来的。小肠表现为皱襞增厚（环状襞）、带状回肠和肠壁增厚。大肠可见狭窄、拇指印征和痉挛。这些病例出现的时间间隔足够长，可排除地方性感染。当婴儿出现弥漫性小肠疾病或结肠炎时，应考虑食物蛋白过敏的诊断。
