key: cord-1048872-d1otxzka
authors: Groetch, Marion; Durban, Raquel; Meyer, Rosan; Venter, Carina; Nowak-Wegrzyn, Anna
title: Dietary Management of Food Protein-Induced Enterocolitis Syndrome during COVID-19 Pandemic
date: 2020-05-06
journal: Ann Allergy Asthma Immunol
DOI: 10.1016/j.anai.2020.05.005
sha: 280f51ce12c7919424083e3b415fce3fca00cb18
doc_id: 1048872
cord_uid: d1otxzka

As communities struggle to adapt to life under the threat of the global pandemic, COVID-19, those living with Food Protein-Induced Enterocolitis Syndrome (FPIES) must adapt with additional difficulties. Social distancing and shelter-in-place strategies have been implemented, resulting in fewer supermarkets trips, stockpile-purchasing behaviors in up to 74.5% of those surveyed(1), and shortages of staple food items all with potential impact on the availability of foods for those on limited diets. Concern about allergic reactions make exploring alternative or new ingredients undesirable or untenable. Remaining safe at home is important to avoid trips to the emergency department where families may be exposed to the COVID-19 virus and medical attention can be limited due to the burden on global health systems. Parents of children with FPIES are also understandably concerned about meeting their child’s nutritional needs during these times of sheltering-in-place. Now more than ever, advice on what foods to serve and when to serve them is critically important.

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International consensus guidelines for the diagnosis and management of food protein-induced enterocolitis syndrome: Executive summary-Workgroup Report of the Adverse Reactions to Foods Committee

COVID-19: Pandemic Contingency Planning for the Allergy and Immunology Clinic. The journal of allergy and clinical immunology in practice

Managing FPIES emergencies during the COVID-19 pandemic

Emerging triggers of food protein-induced enterocolitis syndrome: Lessons from a pediatric cohort of 74 children in the United States

Avoidance of products with precautionary allergen labels (PAL), "may contain" is not necessary.Do not avoid PAL unless in the rare circumstance your child has reacted to trace/invisible amounts in the past.