Proctocolitis in breast fed infants: a contribution to differential diagnosis of haematochezia in early childhood
W Pumbergera, G Pombergera, W Geisslerb
a Division of
Paediatric Surgery, University of Vienna, b Department of Paediatric Surgery,
SMZO-Donauspital, Vienna
Correspondence to: Dr Wolfgang Pumberger, Division of Paediatric Surgery, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria dr.pumberger{at}aon.at
Submitted 19 January 2000;
Accepted 20 September
2000
Dietary protein induced proctocolitis in exclusively breast fed
infants is rarely taken into consideration as a cause of rectal bleeding or blood streaked stool in the neonatal period and early infancy. Eleven babies are presented in whom it is believed that bleeding through the rectum was due to proctocolitis as a result of
allergy triggered by cows' milk protein transferred to the infants via
the breast milk. Colonoscopy was performed in five infants, revealing
benign eosinophilic proctocolitis. Standard treatment was the exclusion
of the allergen from the mother's diet. Resolution of visible rectal
bleeding took place within 72 to 96 hours after elimination of the
offending protein from the mother's diet.
Keywords: haematochezia; benign eosinophilic infantile proctocolitis; breast fed infants; cows' milk allergy
© 2001 by The Fellowship of Postgraduate Medicine
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