PDF herunterladen
AJP Rep 2015; 05(01): e51-e52
DOI: 10.1055/s-0035-1545672
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Treatment of Sandifer Syndrome with an Amino-Acid–Based Formula

Natasha Bamji
1   Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, New York Medical College, Valhalla, New York
,
Stuart Berezin
1   Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, New York Medical College, Valhalla, New York
,
Howard Bostwick
1   Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, New York Medical College, Valhalla, New York
,
Marvin S. Medow
1   Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, New York Medical College, Valhalla, New York
› Institutsangaben
Weitere Informationen

Publikationsverlauf

05. November 2014

23. Dezember 2014

Publikationsdatum:
04. März 2015 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Objective To study the presentation and treatment in two infants who presented with refractory Sandifer syndrome (SS).

Study Design We retrospectively reviewed the cases of two infants who presented to our outpatient clinic with SS who were refractory to conventional treatment.

Results We report two patients with refractory SS who responded to treatment with hypoallergenic formula.

Conclusion It is important to consider a diagnosis of milk protein allergy responsive to hypoallergenic formula in patients with SS who are refractory to conventional antireflux treatment.

Keywords

Sandifer syndrome - cow's milk protein allergy - pediatrics - GERD - infants
 

  • References

  • 1 Kinsbourne M. Hiatus hernia with contortions of the neck. Lancet 1964; 1 (7342) 1058-1061
    PubMedSuche in Google Scholar
  • 2 Ramenofsky ML, Buyse M, Goldberg MJ, Leape LL. Gastroesophageal reflux and torticollis. J Bone Joint Surg Am 1978; 60 (8) 1140-1141
    CrossrefPubMedSuche in Google Scholar
  • 3 Williams CA, Frias JL. Apparent G syndrome presenting as neck and upper limb dystonia and severe gastroesophageal reflux. Am J Med Genet 1987; 28 (2) 297-302
    PubMedSuche in Google Scholar
  • 4 Dias E, Ramachandra C, D'Cruz AJ, Yeshwanth M. An unusual presentation of gastro-oesophageal reflux—Sandifer's syndrome. Trop Doct 1992; 22 (3) 131
    CrossrefPubMedSuche in Google Scholar
  • 5 Olguner M, Akgür FM, Hakgüder G, Aktuğ T. Gastroesophageal reflux associated with dystonic movements: Sandifer's syndrome. Pediatr Int 1999; 41 (3) 321-322
    CrossrefPubMedSuche in Google Scholar
  • 6 Cavataio F, Iacono G, Montalto G , et al. Gastroesophageal reflux associated with cow's milk allergy in infants: which diagnostic examinations are useful?. Am J Gastroenterol 1996; 91 (6) 1215-1220
    PubMedSuche in Google Scholar
  • 7 Hill DJ, Murch SH, Rafferty K, Wallis P, Green CJ. The efficacy of amino acid-based formulas in relieving the symptoms of cow's milk allergy: a systematic review. Clin Exp Allergy 2007; 37 (6) 808-822
    CrossrefPubMedSuche in Google Scholar
  • 8 Wolfe MM, Sachs G. Acid suppression: optimizing therapy for gastroduodenal ulcer healing, gastroesophageal reflux disease, and stress-related erosive syndrome. Gastroenterology 2000; 118 (2) (Suppl. 01) S9-S31
    CrossrefPubMedSuche in Google Scholar
  • 9 Puntis JW, Smith HL, Buick RG, Booth IW. Effect of dystonic movements on oesophageal peristalsis in Sandifer's syndrome. Arch Dis Child 1989; 64 (9) 1311-1313
    CrossrefPubMedSuche in Google Scholar
  • 10 Webb HE, Sutcliffe J. Neurological basis for the abnormal movements in Sandifer's syndrome. Lancet 1971; 2 (7728) 818
    PubMedSuche in Google Scholar
  • 11 Kelly KJ, Lazenby AJ, Rowe PC, Yardley JH, Perman JA, Sampson HA. Eosinophilic esophagitis attributed to gastroesophageal reflux: improvement with an amino acid-based formula. Gastroenterology 1995; 109 (5) 1503-1512
    CrossrefPubMedSuche in Google Scholar