scholarly journals Efficacy of an elimination diet in a patient with eosinophilic gastroenteritis : a pediatric case with multiple food allergies

2019 ◽  
Vol 66 (1.2) ◽  
pp. 201-204 ◽  
Author(s):  
Ayumi Sasaki ◽  
Mayumi Sugimoto ◽  
Narumi Tokaji ◽  
Makoto Irahara ◽  
Koichi Okamoto ◽  
...  
Keyword(s):  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Food Allergies ◽  
Pediatric Case

scholarly journals Perforated Duodenal Ulcer in a Pediatric Patient with Eosinophilic Gastroenteritis

1997 ◽  
Vol 11 (3) ◽  
pp. 208-212 ◽  
Author(s):  
Colette Deslandres ◽  
Pierre Russo ◽  
Peter Gould ◽  
Pierre Hardy
Keyword(s):  
Gastroduodenal Ulcer ◽  
Failure To Thrive ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Skin Tests ◽  
Food Allergies ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Perforated Gastroduodenal Ulcer ◽  
Work Up

An 11-year-old boy with eosinophilic gastroenteritis treated by an elimination diet alone presented with a perforated gastroduodenal ulcer subsequent to blunt trauma to the abdomen. Peripheral eosinophilia, chronic iron deficiency, chronic hypoalbuminemia and severe failure to thrive had been present since age 2 years. Immunological work-up revealed food allergies, documented by skin tests. A review of the literature since 1966 revealed only six other cases of perforation of the gastrointestinal tract, one of whom was also a child.

scholarly journals Hazardous Medications in Children with Egg, Red Meat, Gelatin, Fish, and Cow’s Milk Allergy

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 501 ◽  
Author(s):  
Caglayan-Sozmen ◽  
Santoro ◽  
Cipriani ◽  
Mastrorilli ◽  
Ricci ◽  
...  
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Elimination Diet ◽  
Red Meat ◽  
Food Allergies ◽  
Allergic Reactions ◽  
Milk Allergy ◽  
Food Allergens ◽  
Food Ingestion ◽  
Severe Anaphylaxis

Childhood food allergies are a growing public health problem. Once the offending food allergens have been identified, a strict elimination diet is necessary in treatment or prevention of most of the allergic reactions. Accidental food ingestion can lead to severe anaphylaxis. Food- derived substances can be used in medications at various stages of the manufacturing process. In this review, the possible roles of medications which may contain egg, red meat, gelatin, and fish allergens on allergic reactions in children with food allergy were evaluated.

scholarly journals Eosinophilic Gastroenteritis with a Relapsing and Remitting Course with Presence of Autoimmune Antibodies

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Chathuranga Lakmal Fonseka ◽  
Sunali Nanayakkara ◽  
S. D. A. L. Singhapura ◽  
H. M. M. Herath ◽  
C. K. Bodinayake
Keyword(s):  
Autoimmune Disease ◽  
Ascitic Fluid ◽  
Peripheral Blood ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Normal Diet ◽  
Parasitic Disease ◽  
Case Presentation ◽  
Autoimmune Antibodies ◽  
Uncommon Disease

Background. Eosinophilic gastroenteritis (EGE) is an uncommon disease characterized by eosinophilic infiltration of the digestive tract, which occurs due to an uncertain aetiology. Although autoimmune diseases can later present as EGE, it is unusual for EGE to have positive autoimmune antibodies without the presence of an overt autoimmune disease. Case presentation. We report a 38-year-old previously healthy man who presented with abdominal discomfort and loose stools with pleural and peritoneal effusions progressing over several weeks. His investigations revealed severe eosinophilia in peripheral blood and ascitic fluid, and a laparoscopic full-thickness biopsy from the ileum demonstrated infiltration of eosinophils in all three layers of the intestine. There were no clinical features or investigations suggestive of parasitic disease, other diseases associated with eosinophilia, or autoimmune disease. Further investigations showed a highly positive ANA, positive p-ANCA, but did not meet the criteria to diagnose a specific autoimmune disease. The eosinophilia responded to an elimination diet with gradual resolution of eosinophilia and effusions, and once it reappeared after introduction of a normal diet. Conclusion. EGE presenting as peripheral blood and ascitic fluid eosinophilia with the presence of pleural and/or peritoneal effusions is uncommon. Eosinophilic gastroenteritis can be associated with autoantibody positivity without any evidence of overt autoimmune disease manifestations. Elimination diet can be used as a potential option to prevent recurrences of EGE.

scholarly journals Efficacy of a Short-term Six-food Elimination Diet and Reintroduction Therapy in Pediatric Eosinophilic Gastroenteritis

2020 ◽  
Vol 59 (11) ◽  
pp. 1379-1385
Author(s):  
Toshihiko Kakiuchi ◽  
Aiko Nakayama ◽  
Jun Abe ◽  
Muneaki Matsuo
Keyword(s):  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Short Term ◽  
Food Elimination

scholarly journals The impact on quality of life on families of children on an elimination diet for Non-immunoglobulin E mediated gastrointestinal food allergies

2017 ◽  
Vol 10 ◽  
pp. 8 ◽  
Author(s):  
Rosan Meyer ◽  
Heather Godwin ◽  
Robert Dziubak ◽  
Julie A. Panepinto ◽  
Ru-Xin M. Foong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Immunoglobulin E ◽  
Elimination Diet ◽  
Food Allergies ◽  
The Impact

T01.02.22 SIX-FOOD ELIMINATION DIET (SFED) IN EOSINOPHILIC ESOPHAGITIS AND EOSINOPHILIC GASTROENTERITIS

2020 ◽  
Vol 52 ◽  
pp. S72
Author(s):  
M. Di Stefano ◽  
C. Frigerio ◽  
G. Schembari ◽  
F. Lapia ◽  
U. Sabatini ◽  
...  
Keyword(s):  
Eosinophilic Esophagitis ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Food Elimination

Eosinophilic gastroenteritis which leads to mal-absorption and anemia associated with food allergies

2015 ◽  
Vol 3 (3) ◽  
pp. 228
Author(s):  
Young-Geon Kim ◽  
Eun-Soo Lim ◽  
Hyoung-Joo Kim ◽  
Won-Sun Choi ◽  
Ga-Na Hong ◽  
...  
Keyword(s):  
Eosinophilic Gastroenteritis ◽  
Food Allergies

scholarly journals Case Report: Importance of dietary modification in successful management of eosinophilic gastroenteritis

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1761
Author(s):  
Pujitha Kudaravalli ◽  
Sheikh A. Saleem ◽  
Sana Riaz ◽  
Bishnu Sapkota
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Parasitic Infection ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Dietary Modification ◽  
Inflammatory Disorder ◽  
Recurrence Rates ◽  
Hiv Test ◽  
History Of

Introduction: Eosinophilic gastroenteritis (EGE) is an extremely rare inflammatory disorder with an estimated prevalence of 22-28/100 000. We herein, present a case of EGE in an elderly patient which was successfully managed with dietary restriction. Case report: A 70-year-old male with a history of gastroesophageal reflux disorder (GERD), atopic dermatitis and asthma presented with 2 weeks history of foul-smelling non-bloody diarrhea associated with nausea, vomiting and weight loss. Physical examination was significant for dry oral mucosa and loss of skin turgor. Lab findings were significant for a hemoglobin of 13.2 g/dl, hematocrit of 38.5%, mean corpuscular volume of 86.3%, white blood cell count of 24,200/mm3, albumin of 2.2 g/L, stool fat of 70g, stool osmolar gap of 115, C-reactive protein 1.47. Erythrocyte sedimentation rate, HIV test were unremarkable. Infectious stool work-up was negative. Computed tomography of the abdomen was unremarkable. The mucosa appeared mildly inflamed on upper endoscopy and colonoscopy, and biopsies showed eosinophilic infiltration of the mucosal and muscular layers. A diagnosis of eosinophilic gastroenteritis was made after other causes such as parasitic infection, drug use and malignancy were ruled out. The patient was counseled on a six-food elimination diet which successfully resolved his diarrhea. The patient did not have any relapses with dietary modification on follow-up. Discussion: The recurrence rate of EGE is 50%. Steroids improve symptoms in 90% of cases but the recurrence rates are high. The type, dose and duration of steroid therapy is unclear. Sodium cromoglicate, ketotifen, and Montelukast are other proposed treatments, the results being inconclusive. Bowel resection is performed in intestinal obstruction, but medical therapy is needed as recurrence in other segments in common. Dietary modification, a therapy with no side-effects should be the first line of treatment as it can result in resolution sparing the patient of steroid induced side effects.

NUTRITIONAL STATUS IN CHILDREN WITH ATOPIC DERMATITIS CAUSED BY FOOD ALLERGIES

2021 ◽  
Vol 100 (2) ◽  
pp. 119-126
Author(s):  
E.V. Kozlova ◽  
◽  
T.E. Borovik ◽  
N.G. Zvonkova ◽  
A.P. Fisenko ◽  
...  
Keyword(s):  
Vitamin D ◽  
Atopic Dermatitis ◽  
Clinical Manifestations ◽  
Interdisciplinary Approach ◽  
Elimination Diet ◽  
Vitamin D Supplementation ◽  
Food Allergies ◽  
Mineral Density ◽  
Leading Role ◽  
Close Cooperation

The prevalence of food allergy (FA) among children with atopic dermatitis (AD) ranges from 26 to 38%. The article presents an analysis of domestic and foreign publications devoted to the peculiarities of the AD flowing from the FA in children, in which the withdrawal diet plays a leading role in elimination diet. The complete or partial exclusion of one or several foods from the diet contributes to an insufficient intake of macro- and micronutrients, which can lead to a decrease not only in body weight, but also in a delay in the growth of children, as well as in decrease in parameters of bone mineral density. According to research results, the intake of calcium and vitamin D in children with AD and FA is below the recommended levels. The serum 25(OH)D level in these patients is lower than in the general population and is inversely proportional to the SCORAD index. Vitamin D supplementation improves the effectiveness of treatment, helps to reduce the clinical manifestations of AD, as evidenced by a decrease in indicators of both the SCORAD index and the EASI index. The timely and adequate correction of the diets of children with FA who follow strict elimination diets requires an interdisciplinary approach in close cooperation between the pediatrician, allergist and nutritionist.

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