Document Detail


Eosinophilic esophagitis, celiac disease, and immunoglobulin E-mediated allergy in a 2-year-old child.
MedLine Citation:
PMID:  21370728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Celiac disease, eosinophilic esophagitis, and urticaria are 3 manifestations of food allergy with different pathogenic mechanisms. We report the case of a 2-year-old child with digestive symptoms, slow growth, and severe asthma. The results of skin prick tests were positive to several foods. Endoscopy revealed eosinophilic esophagitis and celiac disease. Treatment consisted of a gluten-free diet and a 1-month course of oral corticosteroids. Endoscopy and biopsy findings were normal at 5 years of age. A gluten-free diet is the basis of treatment of celiac disease, but the role of an elimination diet in eosinophilic esophagitis is not well established. Our patient also developed urticaria when exposed to milk and egg.We present, to our knowledge, the first report of a patient with celiac disease, eosinophilic esophagitis, and immediate-type immunoglobulin E-mediated food allergy.
Authors:
S Sánchez-García; M D Ibáñez; M J Martinez-Gómez; C Escudero; A Vereda; M Fernández-Rodríguez; P Rodríguez del Río
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of investigational allergology & clinical immunology     Volume:  21     ISSN:  1018-9068     ISO Abbreviation:  J Investig Allergol Clin Immunol     Publication Date:  2011  
Date Detail:
Created Date:  2011-03-04     Completed Date:  2011-03-21     Revised Date:  2013-07-31    
Medline Journal Info:
Nlm Unique ID:  9107858     Medline TA:  J Investig Allergol Clin Immunol     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  73-5     Citation Subset:  IM    
Affiliation:
Department of Allergology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain. ssanchez@salud.madrid.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Celiac Disease / complications,  diagnosis*,  diet therapy
Child, Preschool
Diet, Gluten-Free
Egg White / adverse effects
Eosinophilic Esophagitis / complications,  diagnosis*,  diet therapy
Female
Food Hypersensitivity / complications,  diagnosis*,  diet therapy
Glutens / adverse effects
Humans
Immunoglobulin E / blood,  immunology
Milk / adverse effects
Treatment Outcome
Urticaria / complications,  diet therapy,  etiology,  immunology
Chemical
Reg. No./Substance:
37341-29-0/Immunoglobulin E; 8002-80-0/Glutens

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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