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Villanova, PA
A male asked:

3yr old h/o failure to thrive/poor growth. ped gi found iga 183, esr 26, calprotectin 165, burr cells 1+. plan is to repeat labs & if unchanged colonoscopy. food allergy??? maybe see allergist too????

2 doctor answers3 doctors weighed in
Dr. James Rochester
Family Medicine 26 years experience
FTT: The labs you post do not suggest anything that jumps right out. For a 3 y/o top normal for IgA and calprotectin, burr cells are not very diagnostic and can be from poor technique. Unfortunately it looks as if watch,wait more testing in order. Good luck.
Dr. Ahmet Aybar
Pediatric Gastroenterology 31 years experience
Failure to thrive : I think your GI doctor suggested an upper endoscopy with possible sigmoidoscopy. Eosinophilic gastroenteropathy Is a possible reason which is evaluated by biopsies. If the biopsies are consistent with above then next step is an allergist but make sure you see a pediatric allergist who is familiar with this condition. There are other reasons for failure to thrive as well so follow your GI rec's

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Last updated Sep 28, 2016

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