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Eosinophilic esophagitis.
Allergol Immunopathol (Madr) 2006 Mar-Apr; 34(2):79-81AI

Abstract

BACKGROUND

Esophagitis is an increasingly diagnosed disease. Patients with gastroesophagic reflux, dysphagia, vomiting or abdominal pain, with a torpid response to the treatment, could be suffering from it.

MATERIAL AND METHODS

A 37 year-old male patient with background of gastroesophagic reflux and dysphagia for solids since 2002, self-limited diarrhea episodes and intolerance to alcoholic drinks due to epigastric pain. Skin prick tests, specific IgE, histamine release test and basophil activation test were carried out.

RESULTS

Skin prick test to the usual allergens with negative result; prick-prick tests to egg white and yolk, milk and apple with positive result to egg white; total serum IgE within normal levels, specific IgE to egg white with positive result; histamine release test (HRT) and basophil activation test (BAT) with positive result to egg white and yolk.

CONCLUSION

The patient was diagnosed eosinophilic esophagitis. The commercial food extracts have a great variability in their allergenic composition, which could result in false negative results in the prick test. Prick-prick with the natural food is a more sensitive technique than prick in the diagnosis of food allergy. There are other useful in vitro techniques, apart from specific IgE, in the diagnosis of food allergy. In our case, an exclusion diet of the involved food was more effective than other treatments for remission of the symptoms.

Authors+Show Affiliations

Department of Allergology and Clinical Immunology, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain. janton@unav.esNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16606552

Citation

Antón Remírez, Judith, et al. "Eosinophilic Esophagitis." Allergologia Et Immunopathologia, vol. 34, no. 2, 2006, pp. 79-81.
Antón Remírez J, Escudero R, Cáceres O, et al. Eosinophilic esophagitis. Allergol Immunopathol (Madr). 2006;34(2):79-81.
Antón Remírez, J., Escudero, R., Cáceres, O., & Fernández-Benítez, M. (2006). Eosinophilic esophagitis. Allergologia Et Immunopathologia, 34(2), pp. 79-81.
Antón Remírez J, et al. Eosinophilic Esophagitis. Allergol Immunopathol (Madr). 2006;34(2):79-81. PubMed PMID: 16606552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eosinophilic esophagitis. AU - Antón Remírez,Judith, AU - Escudero,Rosario, AU - Cáceres,Oscar, AU - Fernández-Benítez,Margarita, PY - 2006/4/12/pubmed PY - 2006/8/19/medline PY - 2006/4/12/entrez SP - 79 EP - 81 JF - Allergologia et immunopathologia JO - Allergol Immunopathol (Madr) VL - 34 IS - 2 N2 - BACKGROUND: Esophagitis is an increasingly diagnosed disease. Patients with gastroesophagic reflux, dysphagia, vomiting or abdominal pain, with a torpid response to the treatment, could be suffering from it. MATERIAL AND METHODS: A 37 year-old male patient with background of gastroesophagic reflux and dysphagia for solids since 2002, self-limited diarrhea episodes and intolerance to alcoholic drinks due to epigastric pain. Skin prick tests, specific IgE, histamine release test and basophil activation test were carried out. RESULTS: Skin prick test to the usual allergens with negative result; prick-prick tests to egg white and yolk, milk and apple with positive result to egg white; total serum IgE within normal levels, specific IgE to egg white with positive result; histamine release test (HRT) and basophil activation test (BAT) with positive result to egg white and yolk. CONCLUSION: The patient was diagnosed eosinophilic esophagitis. The commercial food extracts have a great variability in their allergenic composition, which could result in false negative results in the prick test. Prick-prick with the natural food is a more sensitive technique than prick in the diagnosis of food allergy. There are other useful in vitro techniques, apart from specific IgE, in the diagnosis of food allergy. In our case, an exclusion diet of the involved food was more effective than other treatments for remission of the symptoms. SN - 0301-0546 UR - https://www.unboundmedicine.com/medline/citation/16606552/Eosinophilic_esophagitis_ L2 - http://www.elsevier.es/en/linksolver/ft/ivp/0301-0546/34/79 DB - PRIME DP - Unbound Medicine ER -