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Skoric I, Mihatov Stefanovic I, Vrsalovic R. Vomiting and Diarrhea: Side Effect or Allergic Reaction? Clin Pediatr (Phila) 2024; 63:146-148. [PMID: 37021802 DOI: 10.1177/00099228231166509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Affiliation(s)
- Iva Skoric
- Department of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
| | - Iva Mihatov Stefanovic
- Department of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
- School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Renata Vrsalovic
- Department of Pediatrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
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2
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Novembre E, Giovannini M, Catamerò F, Liccioli G, Sarti L, Barni S, Mori F. Acute FPIES and DIES: is a G lacking? Front Pediatr 2023; 11:1185196. [PMID: 37408982 PMCID: PMC10318171 DOI: 10.3389/fped.2023.1185196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 05/08/2023] [Indexed: 07/07/2023] Open
Affiliation(s)
- Elio Novembre
- Department of Health Sciences, University of Florence, Florence, Italy
| | - Mattia Giovannini
- Department of Health Sciences, University of Florence, Florence, Italy
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
| | - Francesco Catamerò
- Department of Health Sciences, University of Florence, Florence, Italy
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
| | - Giulia Liccioli
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
| | - Lucrezia Sarti
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
| | - Simona Barni
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
| | - Francesca Mori
- Allergy Unit, Meyer Children’s Hospital IRCCS, Florence, Italy
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3
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Di Filippo P, Venanzi A, Ciarelli F, Panetti B, Di Pillo S, Chiarelli F, Attanasi M. Drug-Induced Enterocolitis Syndrome in Children. Int J Mol Sci 2023; 24:ijms24097880. [PMID: 37175584 PMCID: PMC10178722 DOI: 10.3390/ijms24097880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 04/16/2023] [Accepted: 04/24/2023] [Indexed: 05/15/2023] Open
Abstract
Drug-Induced Enterocolitis Syndrome (DIES) is a drug-induced hypersensitivity reaction non-IgE mediated involving the gastrointestinal system that occurs 2 to 4 h after drug administration. Antibiotics, specifically amoxicillin or amoxicillin/clavulanate, represent the most frequent drugs involved. Symptoms include nausea, vomiting, abdominal pain, diarrhea, pallor, lethargy, and dehydration, which can be severe and result in hypovolemic shock. The main laboratory finding is neutrophilic leukocytosis. To the best of our knowledge, 12 cases of DIES (9 children-onset and 3 adult-onset cases) were described in the literature. DIES is a rare clinically well-described allergic disease; however, the pathogenetic mechanism is still unclear. It requires to be recognized early and correctly treated by physicians.
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Affiliation(s)
- Paola Di Filippo
- Department of Pediatrics, University of Chieti, 66100 Chieti, Italy
| | | | | | - Beatrice Panetti
- Department of Pediatrics, University of Chieti, 66100 Chieti, Italy
| | - Sabrina Di Pillo
- Department of Pediatrics, University of Chieti, 66100 Chieti, Italy
| | | | - Marina Attanasi
- Department of Pediatrics, University of Chieti, 66100 Chieti, Italy
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4
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Eyraud C, Biermé P, Adam M, Braun C. Drug-induced enterocolitis syndrome: A rare, severe, non-IgE-mediated immediate drug allergy. Case report and literature review. Arch Pediatr 2023; 30:67-70. [PMID: 36462992 DOI: 10.1016/j.arcped.2022.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 08/29/2022] [Accepted: 11/11/2022] [Indexed: 12/05/2022]
Abstract
We report the case of a 4-year-old child who presented with vomiting, abdominal pain, and intense pallor 2 h after amoxicillin ingestion. An IgE-mediated reaction was suspected at first, which was finally diagnosed as a drug-induced enterocolitis syndrome. In this rare and poorly described non-IgE-mediated drug allergy, adrenaline is not effective. This diagnostic challenge must be known in order to administer adequate treatment, i.e., antiemetic drugs (ondansetron) and fluid challenge.
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Affiliation(s)
- C Eyraud
- Service de Pédiatrie, Pneumologie, Allergologie et Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | - P Biermé
- Service de Pédiatrie, Pneumologie, Allergologie et Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | - M Adam
- Service de Pédiatrie, Pneumologie, Allergologie et Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France
| | - C Braun
- Service de Pédiatrie, Pneumologie, Allergologie et Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France; Centre International de Recherche en Infectiologie, INSERM U1111, CNRS UMR 5308, UCBL1, ENS de Lyon, Lyon, France; Université Claude Bernard Lyon 1, Lyon, France.
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5
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Pascal B, Evrard B, Merlin E, Egron C, Bonnet B, Michaud E. Drug-induced enterocolitis syndrome with paracetamol (acetaminophen) in a 12-month-old boy. Pediatr Allergy Immunol 2022; 33:e13755. [PMID: 35338732 DOI: 10.1111/pai.13755] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 02/14/2022] [Accepted: 02/18/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Brice Pascal
- Immunology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Pediatric Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Bertrand Evrard
- Immunology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Clermont Auvergne University, Clermont-Ferrand, France
| | - Etienne Merlin
- Pediatric Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Clermont Auvergne University, Clermont-Ferrand, France
| | - Carole Egron
- Pediatric Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Benjamin Bonnet
- Immunology Department, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Clermont Auvergne University, Clermont-Ferrand, France
| | - Elodie Michaud
- Pediatric Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
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6
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Novembre E, Barni S, Saretta F, Castagnoli R, Arasi S, Mastrorilli C, Pecoraro L, Liotti L, Caminiti L, Giovannini M, Mori F. The history of the drug-induced enterocolitis syndrome. Pediatr Allergy Immunol 2022; 33 Suppl 27:54-57. [PMID: 35080322 DOI: 10.1111/pai.13630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 07/28/2021] [Accepted: 08/06/2021] [Indexed: 12/23/2022]
Abstract
The diagnosis of drug-induced enterocolitis syndrome (DIES), resembling the typical findings of a well-known disease, the food protein-induced enterocolitis syndrome (FPIES), was acknowledged in the first publication on the topic in 2014. Ten cases of DIES have been described so far. Unanswered questions concerning DIES include its pathogenetic mechanism, natural history, the possible presence of predisposing genetic factors, and the potential existence of its atypical forms. DIES is a recently defined and intriguing clinical entity, similar to FPIES but triggered by drugs. It seems well-defined from the clinical point of view, but its pathogenetic mechanisms are not known. DIES deserves more attention among allergists, especially among the professionals who work with children, and all efforts should be conceived to improve its correct recognition and accurate management.
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Affiliation(s)
- Elio Novembre
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Simona Barni
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Francesca Saretta
- Pediatric Department, Latisana-Palmanova Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Italy
| | - Riccardo Castagnoli
- Department of Pediatrics, Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
| | - Stefania Arasi
- Pediatric Allergology Unit, Department of Pediatric Medicine, Bambino Gesù Children's Research Hospital (IRCCS, Rome, Italy
| | - Carla Mastrorilli
- Pediatric Unit and Emergency, University Hospital Consortium Corporation Polyclinic of Bari, Pediatric Hospital Giovanni XXIII, Bari, Italy
| | - Luca Pecoraro
- Department of Medicine, University of Verona, Policlinico GB Rossi, Verona, Italy.,Pediatric Unit, ASST Mantua, Mantua, Italy
| | - Lucia Liotti
- Department of Pediatrics, Salesi Children's Hospital, AOU Ospedali Riuniti Ancona, Ancona, Italy
| | - Lucia Caminiti
- Department of Human Pathology in Adult and Development Age "Gaetano Barresi," Allergy Unit, Department of Pediatrics, AOU Policlinico Gaetano Martino, Messina, Italy
| | - Mattia Giovannini
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Francesca Mori
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
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7
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Mori F, Liccioli G, Fuchs O, Barni S, Giovannini M, Sarti L, Novembre E, Caubet JC. Drug-induced enterocolitis syndrome: Similarities and differences compared with food protein-induced enterocolitis syndrome. Pediatr Allergy Immunol 2021; 32:1165-1172. [PMID: 33651420 DOI: 10.1111/pai.13491] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 02/20/2021] [Accepted: 02/22/2021] [Indexed: 11/29/2022]
Abstract
In 2014, drug-induced enterocolitis syndrome (DIES) was described for the first time. It is still a poorly known disease with symptoms that typically resemble those of food protein-induced enterocolitis syndrome (FPIES). To date, six more cases of DIES have been described and new clinical diagnostic criteria have been proposed based on those in the international guidelines for FPIES. In this paper, the authors describe three more cases of DIES. In addition, similarities and differences with FPIES have been deeply analyzed. To date, several unanswered questions need to be addressed, but clinicians must be instructed how to identify DIES, in order to make an allergy workup and give definite therapeutic indications to patients, especially in children where DIES seems to be more frequent.
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Affiliation(s)
- Francesca Mori
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Giulia Liccioli
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Oliver Fuchs
- Division of Pediatric Allergology and Pulmonology, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland
| | - Simona Barni
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Mattia Giovannini
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Lucrezia Sarti
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Elio Novembre
- Department of Paediatric Medicine, Allergy Unit, Meyer Children's Hospital, Florence, Italy
| | - Jean-Christoph Caubet
- Department of the Child and Adolescent, Pediatric Allergy Units, Geneva University Hospitals, Geneva, Switzerland
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8
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Mori F, Barni S, Saretta F, Castagnoli R, Arasi S, Mastrorilli C, Pecoraro L, Liotti L, Caminiti L, Giovannini M, Novembre E. Epidemiology of rare allergic diseases in children. Pediatr Allergy Immunol 2020; 31 Suppl 26:39-42. [PMID: 33236442 DOI: 10.1111/pai.13359] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/26/2020] [Indexed: 02/02/2023]
Abstract
Allergic diseases have different frequencies. In particular, allergic rhinitis and asthma have high frequencies of about 20% and 10%, respectively. Other allergic diseases have lower frequencies; for example, food allergy has a frequency of 1%-4%. There are also rare allergic diseases, with a prevalence of 5 cases per 10 000 people in the general population, and they are included in Orphanet. However, other extremely rare allergic diseases still need to be properly known in order to be possibly recognized as rare diseases and cataloged in Orphanet.
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Affiliation(s)
- Francesca Mori
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Simona Barni
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Francesca Saretta
- Pediatric Department, Latisana-Palmanova Hospital, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - Riccardo Castagnoli
- Department of Pediatrics, Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
| | - Stefania Arasi
- Predictive and Preventive Medicine Research Unit, Multifactorial and Systemic Diseases Research Area, Pediatric Allergy Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy
| | - Carla Mastrorilli
- Pediatric Unit and Emergency, University Hospital Consortium Corporation Polyclinic of Bari, Pediatric Hospital Giovanni XXIII, Bari, Italy.,Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Luca Pecoraro
- Pediatric Unit, ASST Mantua, Mantua, Italy.,Department of Medicine, University of Verona, Policlinico GB Rossi, Verona, Italy
| | - Lucia Liotti
- Pediatric Unit, Senigallia Hospital, Senigallia, Italy
| | - Lucia Caminiti
- Department of Human Pathology in Adult and Development Age "Gaetano Barresi", Allergy Unit, Department of Pediatrics, AOU Policlinico Gaetano Martino, Messina, Italy
| | - Mattia Giovannini
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Elio Novembre
- Allergy Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
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9
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Bouvette G, Verreault N, Gagnon N, Lavoie A. Drug-induced enterocolitis syndrome (DIES) with pantoprazole in an adult patient. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2020; 8:3183-3184. [PMID: 32376488 DOI: 10.1016/j.jaip.2020.04.046] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2020] [Revised: 04/16/2020] [Accepted: 04/17/2020] [Indexed: 06/11/2023]
Affiliation(s)
- Geneviève Bouvette
- Division of Internal Medicine, Department of Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada.
| | - Nina Verreault
- Division of Allergy and Clinical Immunology, Department of Medicine, Centre Hospitalier de l'Université Laval (CHUL), Quebec, QC, Canada
| | - Nathalie Gagnon
- Division of Internal Medicine, Department of Medicine, Hôpital Saint-François d'Assise (HSFA), Quebec, QC, Canada
| | - Aubert Lavoie
- Division of Allergy and Clinical Immunology, Department of Medicine, Centre Hospitalier de l'Université Laval (CHUL), Quebec, QC, Canada
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10
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Worcel J, Tarelho M, Baron M, Ponvert C, Bidat E, Benoist G, Lezmi G. Drug-induced enterocolitis syndrome (DIES) in a 10-year-old girl. Arch Pediatr 2019; 27:51-52. [PMID: 31784292 DOI: 10.1016/j.arcped.2019.11.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 08/30/2019] [Accepted: 11/11/2019] [Indexed: 10/25/2022]
Abstract
We report the case of a child presenting with an adverse drug reaction highly suggestive of drug-induced enterocolitis syndrome (DIES) to amoxicillin (AMX). A 10-year-old girl developed repetitive vomiting and pallor without cutaneous or respiratory symptoms 2h after AMX intake. DIES is not a well-described entity, and very few data are available in the literature. In the absence of an existing definition, the diagnosis of DIES can only be suspected and is based on its homology with food protein-induced enterocolitis (FPIES). The major criterion is the recurrence of repetitive and often incoercible vomiting occurring within 1-4h of ingestion of the culprit food in the absence of IgE-mediated allergic classic skin and respiratory symptoms. Once the diagnosis of DIES to AMX is suspected, an open challenge with AMX should be undertaken with caution, under medical supervision in a day hospital unit because of the risk of severe recurrence. Once the diagnosis is confirmed, AMX should be contraindicated to avoid severe reactions.
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Affiliation(s)
- J Worcel
- Service de pneumologie et allergologie pédiatriques, hôpital Necker-Enfants Malades, AP-HP, Paris, France
| | - M Tarelho
- Service de pneumologie et allergologie pédiatriques, hôpital Necker-Enfants Malades, AP-HP, Paris, France
| | - M Baron
- Service de pédiatrie générale, hôpital Ambroise Paré, AP-HP, Boulogne-Billancourt, France
| | - C Ponvert
- Service de pneumologie et allergologie pédiatriques, hôpital Necker-Enfants Malades, AP-HP, Paris, France
| | - E Bidat
- Service de pédiatrie générale, hôpital Ambroise Paré, AP-HP, Boulogne-Billancourt, France
| | - G Benoist
- Service de pédiatrie générale, hôpital Ambroise Paré, AP-HP, Boulogne-Billancourt, France
| | - G Lezmi
- Service de pneumologie et allergologie pédiatriques, hôpital Necker-Enfants Malades, AP-HP, Paris, France; Université Paris Descartes, Paris, France.
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11
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Van Thuijl AOJ, Landzaat LJ, Liem O, Emons JAM, Arends NJT. Drug-induced enterocolitis syndrome (DIES): A clinical entity that deserves more awareness. Ann Allergy Asthma Immunol 2019; 122:538-539. [PMID: 30772389 DOI: 10.1016/j.anai.2019.02.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 02/04/2019] [Accepted: 02/07/2019] [Indexed: 10/27/2022]
Affiliation(s)
- Anders O J Van Thuijl
- Reinier de Graaf Gasthuis, Department of Pediatric Allergology, Delft, The Netherlands
| | - Lonneke J Landzaat
- Erasmus MC University Medical Center, Department of Pediatrics, Division of Respiratory Medicine and Allergology, Rotterdam, The Netherlands
| | - Olivia Liem
- Erasmus MC University Medical Center, Department of Pediatrics, Division of Respiratory Medicine and Allergology, Rotterdam, The Netherlands
| | - Joyce A M Emons
- Erasmus MC University Medical Center, Department of Pediatrics, Division of Respiratory Medicine and Allergology, Rotterdam, The Netherlands
| | - Nicolette J T Arends
- Erasmus MC University Medical Center, Department of Pediatrics, Division of Respiratory Medicine and Allergology, Rotterdam, The Netherlands
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12
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Drug-induced enterocolitis in an adult patient. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2017; 5:1752-1753. [DOI: 10.1016/j.jaip.2017.03.024] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2016] [Revised: 03/09/2017] [Accepted: 03/23/2017] [Indexed: 11/20/2022]
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