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Tieguanyin Tea Like-Colored Amniotic Fluid Can be the Earliest Diagnostic Sign of Food Protein-Induced Enterocolitis Syndrome – 2 Case Reports

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  • Toshihiko Nakamura

    (Department of Neonatology, Japanese Red Cross Musashino Hospital, Japan
    Department of Pediatrics, National Organization Hospital Nishisaitama-chuo, Japan)

Abstract

Food Protein-Induced Enterocolitis Syndrome (FPIES) is a non-immunoglobulin E-mediated disorder. We report two rare cases of suspected FPIES sensitized and developed in utero. The one infant presented with hematochezia and abdominal distention. She was noted to have a dilated gastric bubble on fetal ultrasound. The other infant presented with tarry stools, old hematemesis, and abdominal distention. An allergen-specific lymphocyte stimulation test was performed, both infants were positive for cow’s milk protein. Notably, both infants showed translucent brownish amniotic fluid appearing similar in color to Tieguanyin tea, which suggested that the infants had vomited the contents of the gastric hemorrhage in utero. When characteristically appearing such amniotic fluid with no finding of meconium staining is present, FPIES should be suspected.

Suggested Citation

  • Toshihiko Nakamura, 2023. "Tieguanyin Tea Like-Colored Amniotic Fluid Can be the Earliest Diagnostic Sign of Food Protein-Induced Enterocolitis Syndrome – 2 Case Reports," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 49(1), pages 40258-40261, February.
    • Handle: RePEc:abf:journl:v:49:y:2023:i:1:p:40258-40261
    DOI: 10.26717/BJSTR.2023.49.007738
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