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Immunopathophysiology of Food Protein-Induced Enterocolitis Syndrome #MMPMID25746969
Berin MC
J Allergy Clin Immunol 2015[May]; 135 (5): 1108-13 PMID25746969show ga
There is increasing recognition of the non-IgE-mediated gastrointestinal food allergy known as food protein-induced enterocolitis syndrome (FPIES), with several recent publications summarizing the clinical experience with FPIES in the US, the UK, Europe, and Australia. Our understanding of the mechanisms linking food exposure to typical symptoms of vomiting, hypotension, and diarrhea has lagged far behind our understanding of the immune mechanisms of IgE-mediated food allergy. The goal of this overview is to summarize and critique the current state of knowledge of the immunology of FPIES, and to identify major gaps in our knowledge that need to be addressed in order to make significant gains in developing therapies and prevention strategies for FPIES.