Patient’s clinical follow-up: treatment (diet and medications) and inflammatory markers (FCP)
Month | Diet | Drugs | FCP (µg/g) | Notes |
---|---|---|---|---|
0 | EEN: polymeric formula | Prednisone, mesalazine, azathioprine | Baseline > 2,100After EEN = 185 | Purpuric rash with azathioprine |
4 | Polymeric formula + food group 1* | Prednisolone, methotrexate | > 2,100 | Greenish and abundant stools |
5 | Elemental formula + food group 1 | Prednisolone, methotrexate | < 50 | Yellow, normal stools |
10 | Elemental formula + food group 1 + food group 2** | Prednisolone, methotrexate | 60 | Asymptomatic |
13 | Elemental formula + food group 1 + food group 2 + food group 3*** | Prednisolone, methotrexate | 38 | Asymptomatic |
15 | Elemental formula + food group 1 + food group 2 + food group 3 + fish + egg (egg-yolk and egg-white) | Methotrexate | 223 | Vomit, mild constipation |
16 | Elemental formula + food group 1 + food group 2 + food group 3 + turkey (fish and egg removed) | Methotrexate | 13 | Asymptomatic |
22 | Elemental formula + food group 1 + food group 2 + food group 3 + turkey + egg-white (fish and egg-yolk removed) | Methotrexate | 32 | Asymptomatic |
26 | Food group 1 + food group 2 + food group 3 + turkey + egg-white + fish + lamb (egg-yolk removed, elemental formula removed) | Methotrexate | 120 | Suspected infection |
30 | Food group 1 + food group 2 + food group 3 + turkey + egg-white + fish + lamb (egg-yolk removed, elemental formula removed) | Methotrexate | 33 | Asymptomatic |
*: food group 1/first SPT: oats, cassava, barley, avocado, banana, pear, apple, and papaya; **: food group 2/second SPT: mandarin, beetroot, melon, orange, strawberry, peach, potato, sweet potato, quinoa, and rice; ***: food group 3/third SPT: broccoli, pumpkin, carrot, cauliflower, onion, garlic, corn, potato, tomato, passion fruit, watermelon, lemon, mango, pineapple, olive (olive oil), wheat. All foods were introduced one at a time after a negative SPT. Eight SPTs were performed in the 30 months of follow-up