PMID- 10094375 OWN - NLM STAT- MEDLINE DCOM- 19990428 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 37 IP - 1 DP - 1999 Jan TI - Fecal tumor necrosis factor alpha, eosinophil cationic protein and IgE levels in infants with cow's milk allergy and gastrointestinal manifestations. PG - 29-32 AB - Infants with atopic eczema exhibit a specific fecal protein pattern after oral challenge with cow's milk, characterized by an increase in both eosinophil cationic protein (ECP) and tumor necrosis factor (TNF)alpha. The aim of our study was to determine the pattern of these proteins in allergic infants with intestinal manifestations. TNFalpha, ECP and immunoglobulin E (IgE) were measured in stools from 13 infants with intestinal symptoms and 10 healthy infants. The allergic infants underwent two stool collections, one before a cow's milk challenge and the other after the challenge, either at the onset of clinical manifestations (n=6) or 15 days after the challenge if no clinical manifestations occurred (n=7). Baseline TNFalpha, ECP and IgE levels were low in all infants. The concentration of TNFalpha increased after the challenge in infants positive to challenge (p<0.05) but not in those negative to challenge. ECP and IgE levels remained low after the challenge in all the allergic infants. These data confirm that fecal TNFalpha and ECP levels indicate various reaction types of food allergy and that different immunologic disturbances lead to atopic eczema or intestinal symptoms during food allergy. Fecal protein pattern can thus be a useful tool in diagnosing food allergy in infants with intestinal manifestations. FAU - Kapel, N AU - Kapel N AD - Laboratoire de Coprologie Fonctionnelle, Groupe Hospitalier Pitie-Salpetriere, AP-HP, Universite Rene Descartes, Paris, France. nathalie.kapel@psl.ap-hop-paris.fr FAU - Matarazzo, P AU - Matarazzo P FAU - Haouchine, D AU - Haouchine D FAU - Abiola, N AU - Abiola N FAU - Guerin, S AU - Guerin S FAU - Magne, D AU - Magne D FAU - Gobert, J G AU - Gobert JG FAU - Dupont, C AU - Dupont C LA - eng PT - Journal Article PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Blood Proteins) RN - 0 (Eosinophil Granule Proteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.1.- (Ribonucleases) SB - IM MH - Blood Proteins/*metabolism MH - Digestive System/*physiopathology MH - Eosinophil Granule Proteins MH - Feces/*chemistry MH - Humans MH - Immunoglobulin E/*metabolism MH - Infant MH - Milk Hypersensitivity/*metabolism MH - *Ribonucleases MH - Tumor Necrosis Factor-alpha/*metabolism EDAT- 1999/03/27 00:00 MHDA- 1999/03/27 00:01 CRDT- 1999/03/27 00:00 PHST- 1999/03/27 00:00 [pubmed] PHST- 1999/03/27 00:01 [medline] PHST- 1999/03/27 00:00 [entrez] AID - 10.1515/CCLM.1999.004 [doi] PST - ppublish SO - Clin Chem Lab Med. 1999 Jan;37(1):29-32. doi: 10.1515/CCLM.1999.004.