Pediatric Allergic Proctocolitis

by Carlo Raj, MD

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    00:01 A couple of words about allergic proctocolitis.

    00:05 Hematochezia in infancy, and here, you’re looking at early neonate one day to three months of age is pretty typical.

    00:15 Proctocolitis, allergic type definition.

    00:18 Signs and symptoms, there will be blood in this infant – in the stool.

    00:22 Typically, not ill-appearing with history of milk use or exposure, that is important.

    00:29 Oftentimes, you will find that the child, the infant, is getting adapted to the milk that’s being fed, hmm.

    00:34 And during this time, there might be protein that “infant is not accustomed to." So all of a sudden now, the child, the infant, the neonate is having a reaction to the point where you ended up finding streaks of blood within the stool and it’s bright red.

    00:52 That’s what hematochezia means, right? Frank blood in the stool.

    00:58 Allergic proctocolitis.

    01:01 Diagnosis: history and exam and may have increased WBCs and if you think allergic, then the major WBC that should come to mind eos, eosinophils in the stool.

    01:17 Management, avoid the milk formula and maybe perhaps change, maternal dietary change, because you don’t know what exactly is causing this “allergic reaction” especially in the stool and the rectum and in the colon in general in this infant.

    About the Lecture

    The lecture Pediatric Allergic Proctocolitis by Carlo Raj, MD is from the course Pediatric GI Pathology.

    Included Quiz Questions

    1. Formula milk
    2. Breast milk
    3. Soy milk
    4. Cow's milk
    5. Goat milk
    1. The baby appears very ill and requires ICU admission.
    2. Streaks of blood in stools are a common symptom.
    3. It occurs in infants aged 1 day to 3 months.
    4. It typically occurs as an allergic reaction to formula milk.
    5. The baby responds when there is a dietary change.
    1. Eosinophils
    2. Epithelial cells
    3. Neutrophils
    4. Macrophages
    5. Monocytes

    Author of lecture Pediatric Allergic Proctocolitis

     Carlo Raj, MD

    Carlo Raj, MD

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