Document Detail


Defining the role of food allergy in a population of adult patients with eosinophilic esophagitis.
MedLine Citation:
PMID:  20887270     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to establish the clinical types of food reactions and the food sensitization profile in an adult cohort of patients with (EoE). We have prospectively analyzed the food allergen sensitization profile using skin prick test (SPT) and atopy patch test (APT) to 22 plant and animal-derived foods in 19 adult patients with biopsy-proven EoE. For each patient the following data was collected: age, sex, atopic disease status, and clinical characteristics of the EoE. A total of 123 food sensitizations were detected by SPT and 45 food sensitizations by patch testing in 18 patients (94.8%). Thirty-five double- positive (SPT+, APT+) responses against the same food were detected in 15 patients (78.9%). We have also identified 11 clinical episodes clearly suggestive of oral allergy syndrome, urticaria and/or anaphylaxis after intake of some specific foods. All cases showed positive SPT to the offending food (Type 1 food reactors). 68 clinically apparent episodes of EoE related with specific foods were detected in our patients. In 40 instances (58.8%) the foods involved in developing EoE symptoms showed a positive SPT and/or APT results (Type 2). 155 food sensitizations were identified in 18 patients (94.7%) using SPT and/or APT neither related with clinically apparent episodes of EoE nor with clinical episodes suggestive of oral allergy syndrome, urticaria and/or anaphylaxis after food intake (Type 3). In conclusion, the patients with EoE can be allocated into 3 different groups of food reactors, with well-defined clinical and biological characteristics.
Authors:
Maria del Robledo Avila Castellano; Stefan Cimbollek; Joaquin Quiralte
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Inflammation & allergy drug targets     Volume:  9     ISSN:  2212-4055     ISO Abbreviation:  Inflamm Allergy Drug Targets     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-29     Completed Date:  2011-02-17     Revised Date:  2011-11-10    
Medline Journal Info:
Nlm Unique ID:  101266886     Medline TA:  Inflamm Allergy Drug Targets     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  257-62     Citation Subset:  IM    
Affiliation:
UGC de Alergología, Hospital Universitario Virgen del Rocío, Avda. Manuel Siurot s/n, 41013 Sevilla, Spain UGC de, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anaphylaxis / etiology*
Eosinophilic Esophagitis / etiology*,  immunology
Female
Food Hypersensitivity / complications*,  immunology
Humans
Male
Middle Aged
Patch Tests / methods
Prospective Studies
Skin Tests / methods
Urticaria / etiology
Young Adult

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