Abstract:
:Eosinophilic esophagitis (EoE) is a chronic, immune/antigen-mediated, esophageal disease characterized by esophageal dysfunction and eosinophilic inflammation, manifested mainly as dysphagia and frequent food impaction. EoE is recognized into the spectrum of food allergy, but food sensitization studies used not to be efficient to identify the triggering food, because of what patients are frequently treated with topic steroids or even endoscopic esophageal dilation. Herein, we describe 3 adult patients-all suffering from EoE, but with different sensitization patterns-who were treated successfully with elimination diets. Allergy tests indicated no food sensitization for patient 1, but challenge with milk and wheat were positive. Food IgE-mediated allergies were found in patients 2 and 3; inflammation was resolved with food elimination. Lack of food allergy sensitization does not exclude the possibility of food allergies as a cause of EoE; elimination diets must therefore be considered as an effective diagnostic and treatment tool.
journal_name
J Clin Gastroenteroljournal_title
Journal of clinical gastroenterologyauthors
González-Cervera J,Angueira T,Rodriguez-Domínguez B,Arias A,Yagüe-Compadre JL,Lucendo AJdoi
10.1097/MCG.0b013e3182432259subject
Has Abstractpub_date
2012-11-01 00:00:00pages
855-8issue
10eissn
0192-0790issn
1539-2031journal_volume
46pub_type
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