TF Tong, DKK Ng, PK Hui, WF Lau

Abstract

We reported the use of controlled-release budesonide in the treatment of allergic enteropathy. A 7-year-old girl presented with features of allergic enteropathy complicated by malabsorption and protein losing enteropathy. She initially responded well to an elimination diet and a course of systemic steroid which however resulted in depressed height velocity. In view of unsatisfactory histological response, a course of controlled-release Budesonide (Entocort) was given for 6 months. This resulted in improvement in mucosa histology together with normalisation of height velocity. She was followed up for 6 years with no clinical relapse.