Potential subtypes of cyclic vomiting syndrome and common associations

The vast majority (87 ) of patients with CVS have a migraine association either based most commonly on a family history of migraine or, less frequently, on the subsequent development of migraines in the affected child. Because these associated symptoms occurred less than half the time, we did not use headache, photophobia and phonophobia as specific criteria to determine who had migraine-associated CVS. When we examined the remainder with non-migraine-associated CVS (13 ), they appeared to have...

Patterns of food allergic responses Quickonset symptoms

Ige Mediated Responses

These often follow the ingestion of a single food, such as egg, peanut or sesame. Within minutes the sufferer may notice tingling of the tongue, and there may be the rapid development of skin rash, urticaria or wheezing. One localized variant, the oral allergy syndrome, is often seen in older pollen-sensitized individuals and is characterized by lip tingling and mouth swelling after ingestion of certain fruits and vegetables.24 More serious reactions, however, can occur at any age, and antigens...

Diagnosis with differential

Dentate Line Rectum

For the diagnosis of Hirschsprung's disease, the subject's history is very important. The crucial elements to obtain are the age of the appearance of symptoms whether the passage of meconium has been normal or delayed and whether the child presented with episodes of functional intestinal obstruction. In addition, a functional idiopathic megacolon must be ruled out. A clinical comparison between functional and congenital megacolon is shown in Table 17.1. When the history early onset of...

Diagnosis and differential

Coliti Plesiomonas

Table 25.3 Differential diagnosis of colitis HIV and HIV-related opportunistic infections Other Ulcerative colitis Crohn's disease Henoch-Sch nlein purpura Hemolytic uremic syndrome Intestinal ischemia Intussusception Allergic colitis primarily in infancy Hirschsprung's enterocolitis primarily in infancy The diagnosis of ulcerative colitis is established by the information gathered from a detailed symptom and family history, physical examination, and a combination of laboratory, radiological,...