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Am J Perinatol 2000; Volume 17(Number 03): 147-150
DOI: 10.1055/s-2000-9285
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

SANDIFER'S SYNDROME IN A BREAST-FED INFANT

Giovanni Corrado1 , Marisa Cavaliere1 , Patrizia D'Eufemia1 , Andrea Pelliccia2 , Mauro Celli1 , Mariassunta Porcelli1 , Omero Giardini1 , Ettore Cardi1
  • 1Institute of Pediatrics, University of Rome ``La Sapienza,'' Rome, Italy
  • 2Department of Neurological and Psychiatric of Evolutive Age Sciences, University of Rome ``La Sapienza,'' Rome, Italy
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Sandifer's syndrome is a rare manifestation of gastroesophageal reflux (GER) in children, occurring in association with abnormal movements of the head, neck, and upper part of the trunk. Out of 65 children with Sandifer's syndrome described in literature, only 2 were breast-fed. We report on a 15-day-old breast-fed girl affected by Sandifer's syndrome. Pathological GER was diagnosed with 24 h pH esophageal monitoring. In our patient, all the symptoms of Sandifer's syndrome disappeared when she was cow's milk formula-fed. The role of food allergy to dietary proteins ingested by a lactating mother is discussed.

KEYWORD

Sandifer's syndrome - gastroesophageal reflux disease - human milk

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