Gastrointestinally mediated food allergy causing Spondyloarthritis-like disease

• প্রধান লেখক: Raithel M (লেখক), Finzel S (লেখক), Heussinger N (লেখক), Rieker RJ (লেখক), Baenkler HW (লেখক)
• বিন্যাস: গ্রন্থ
• প্রকাশিত: Archives of Clinical Gastroenterology - Peertechz Publications, 2020-07-15.
• বিষয়গুলি: Case Report
• অনলাইন ব্যবহার করুন: Connect to this object online.

সংক্ষিপ্ত

<p>Gastrointestinally-mediated food allergy (GMA) incidentally may cause non-erosive oligoarthritis.</p><p>A 56-year-old woman with seronegative spondyloarthritis observed arthritic flares following ingestion of certain foods. Blood analyses were unremarkable. Segmental gut lavage revealed plasmacellular infiltrates and eosinophilia in terminal ileum. Food allergen-specific IgE-analysis of lavage fluid showed significant polyvalent intestinal IgE-sensitization (>0.35kU/mg protein) towards wheat, rye, egg, soybean, pork, beef, nuts. Repeated exposure to the aforementioned foods caused arthritis within 48 hours; elimination diet engendered long-term remission. Seronegative local IgE-mediated GMA (type I) was diagnosed.</p><p>Especially seronegative rheumatoid arthritis and undifferentiated oligoarthritis should be scrutinized for food-related muscoloskeletal symptoms before initiating immunosuppression. </p>

ডিওআই

10.17352/2455-2283.000078