Evidence map›Paper›PMID 32004746›Full record

ArticleThe journal of allergy and clinical immunology. In practice2020

A Slice of Food Protein-Induced Enterocolitis Syndrome (FPIES): Insights from 441 Children with FPIES as Provided by Caregivers in the International FPIES Association.

Michelle C Maciag, Lisa M Bartnikas, Scott H Sicherer, Linda J Herbert, Michael C Young, Fallon Matney, Amity A Westcott-Chavez, Carter R Petty, Wanda Phipatanakul, Theresa A Bingemann

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. A Systematic Review of Food Protein-Induced Enterocolitis Syndrome.International archives of allergy and immunology · 2023
    Pooled it
  2. Oral food challenges in FPIES: A narrative review and proposals for emergency and home-based management of acute FPIES reaction.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  3. Review
  4. Association of myeloid cell reactivity patterns with safe food predictions in FPIES patients.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
  5. Article
  6. Review
  7. Cow's milk protein allergy in infants and children.Paediatrics & child health · 2024
    Review
  8. Review
  9. Food protein-induced enterocolitis syndrome in an infant triggered by prunes.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  10. Review
  11. Article
  12. Update on Food Protein-Induced Enterocolitis Syndrome (FPIES).Current allergy and asthma reports · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. The evolution of food protein-induced enterocolitis syndrome: From a diagnosis that did not exist to a condition in need of answers.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  19. Pathophysiology of Non-IgE-Mediated Food Allergy.ImmunoTargets and therapy · 2021
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Michelle C MaciagBoston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass. Electronic address: michelle.maciag@childrens.harvard.edu.
Lisa M BartnikasBoston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Scott H SichererDepartment of Pediatrics, Division of Allergy and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.
Linda J HerbertDivision of Allergy and Immunology, Children's National Medical Center, Washington, DC.
Michael C YoungBoston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Fallon MatneyInternational FPIES Association (I-FPIES), Point Pleasant Beach, NJ.
Amity A Westcott-ChavezInternational FPIES Association (I-FPIES), Point Pleasant Beach, NJ.
Carter R PettyBoston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Wanda PhipatanakulBoston Children's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Theresa A BingemannAllergy and Clinical Immunology, Rochester Regional Health and the University of Rochester School of Medicine and Dentistry, Rochester, NY.
Boston Children's Hospital · USBoston Children's Museum · USChildren's National · USHarvard University · USIcahn School of Medicine at Mount Sinai · USUniversity of Rochester · US

Funding

MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
Midcareer Investigator Award: Urban School Allergen Exposures and Childhood AsthmK24AI106822 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI PHIPATANAKUL, WANDA · 2013 to 2022
$1.9M
Evaluating the Impact of School Nut-Free PoliciesK23AI143962 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI BARTNIKAS, LISA MARIE · 2019 to 2023
$970k
NIAID NIH HHS K23 AI143962NIAID NIH HHS K24 AI106822NIAID NIH HHS T32 AI007512
6 · The paper itself

Abstract

backgroundFood protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated gastrointestinal food allergy. There is little known about the demographic characteristics, food triggers, and risk factors for FPIES.

objectiveTo characterize the demographic characteristics, food triggers, risk factors, and management in children with FPIES.

methodsWe retrospectively analyzed surveys completed by 410 caregiver-members of the International FPIES Association, both at a conference for families affected by FPIES and online.

resultsMost of the children were female (50.7%), white (86.2%), and atopic (54.8%), with a median age of 2 years (ranging from 2 months to 19 years). The most common food groups avoided were grains (60.0%), cow's milk (52.4%), vegetables (42.7%), and fruits (38.0%). Avocado was the most commonly avoided fruit. Avoiding avocado was associated with increased likelihood of avoiding banana (P < .001). Of these children, 69.4% avoided at least 2 food groups because of FPIES, and 20.3% had a first-degree relative with FPIES. Having a first-degree relative with FPIES was associated with increased likelihood of avoiding multiple food groups (P = .035).

conclusionsThe most common food group avoided was grains, consistent with recent literature. Avocado avoidance was higher than previously reported, and this is the first report of an association between avocado and banana avoidance in FPIES. Avoiding multiple food groups because of FPIES was more common than previously reported. A large proportion of children in our cohort had first-degree relatives with FPIES, and, furthermore, having a first-degree relative with FPIES was significantly associated with the affected child avoiding multiple food groups.

Indexed as

EnterocolitisFood HypersensitivityAnimalsCaregiversCattleChildChild, PreschoolDietary ProteinsFemaleHumansInfantMaleRetrospective StudiesSyndromeDietary ProteinsAtopyDiarrheaFood allergyFood protein–induced enterocolitis syndromeNon–IgE-mediatedPediatricVomiting

Identifiers

PMID32004746
PMCPMC7217717
OpenAlexW3003335548

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.