Gastrointestinally mediated food allergy causing Spondyloarthritis-like disease
<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...
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Archives of Clinical Gastroenterology - Peertechz Publications,
2020-07-15.
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| LEADER | 00000 am a22000003u 4500 | ||
|---|---|---|---|
| 001 | peertech__10_17352_2455-2283_000078 | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Raithel M |e author |
| 700 | 1 | 0 | |a Finzel S |e author |
| 700 | 1 | 0 | |a Heussinger N |e author |
| 700 | 1 | 0 | |a Rieker RJ |e author |
| 700 | 1 | 0 | |a Baenkler HW |e author |
| 245 | 0 | 0 | |a Gastrointestinally mediated food allergy causing Spondyloarthritis-like disease |
| 260 | |b Archives of Clinical Gastroenterology - Peertechz Publications, |c 2020-07-15. | ||
| 520 | |a <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> | ||
| 540 | |a Copyright © Raithel M et al. | ||
| 546 | |a en | ||
| 655 | 7 | |a Case Report |2 local | |
| 856 | 4 | 1 | |u https://doi.org/10.17352/2455-2283.000078 |z Connect to this object online. |