Hall, HunterAnvari, SaraSchultz, FallonOjuola, OlubukolaRider, Nicholas L.2024-02-062024-02-062024-02-03Allergy, Asthma & Clinical Immunology. 2024 Feb 03;20(1):9https://hdl.handle.net/10919/117863Background: Food protein-induced enterocolitis syndrome (FPIES) is a non-immunoglobulin E (IgE) -mediated food allergy predominantly observed in infants and characterized by the delayed onset of vomiting following ingestion of a trigger food. An increase in research and clinical consideration of FPIES has led to the discovery of unique deviations from the standard FPIES triggers and presentations. Case presentation: A 34-month-old female patient with a history of consuming okra daily presented to medical attention after developing classic FPIES symptoms to okra beginning at 14-months of age. Conclusions: Recently, awareness about the varied nature of FPIES clinical presentation has come to light. This case is the first to describe FPIES to the fruit okra that developed over a 12-month time span after previously tolerating the food. This case serves to emphasize the importance of understanding the range of FPIES symptoms to improve recognition and expedite best practice recommendations.application/pdfenCreative Commons Attribution 4.0 InternationalArticle - Refereed2024-02-04The Author(s)https://doi.org/10.1186/s13223-024-00871-1