Acute pancreatitis caused by allergy to kiwi fruit

Gastaminza, Gabriel; Bernaola, G.; Camino, María Eulalia

doi:10.1111/j.1398-9995.1998.tb03824.x

Cited by 13 publications

(15 citation statements)

References 4 publications

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“…Several case reports of acute pancreatitis, provoked by food allergies to mustard [22], milk [13, 23], egg [24], bananas [10], fish [25] and kiwi fruits [26] in human have been published in the literature. Chronic pancreatitis persisting for as long as 8 to 10 years due to consumption of different types of food such as beef, milk, potato, fish, and eggs have also been reported [12].…”

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

“…The total serum IgE level was 644 IU/mL with specific IgE level to bananas was 2.18 UA/ml showing significant allergy to bananas. Gastaminza et al [26], presented a case report of acute pancreatitis developed after consumption of kiwi fruits in a 48-year-old man with past history of duodenal ulcer and upper gastrointestinal hemorrhage. This patient also had history of rhinitis, bronchial asthma and allergies to pirazolones.…”

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

“…Even though, most cases of food-induced pancreatitis showed intestinal wall edema and duodenal inflammation, but CT scan reported as a normal pancreas [10, 23, 24, 26]. This indicates imaging of pancreas is not sufficient to diagnose pancreatitis.…”

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

“…Unfortunately, in the current scenario, the prevalence of food-induced acute or chronic pancreatitis is still not well reported. Since 1933, food-induced allergy has been known to be a cause of acute pancreatitis in dogs [21]; furthermore, several cases of acute pancreatitis in human caused by allergy to mustard [22], milk [13, 23], cod roe [14], egg [24], bananas [10], fish [25], and kiwi fruits [26] have been reported in literature. Several studies indicate that a high dietary glycemic load [27], fat, meat, egg etc.…”

Section: Introductionmentioning

confidence: 99%

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Food-Induced Acute Pancreatitis

et al. 2017

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Food allergy, a commonly increasing problem worldwide, defined as an adverse immune response to food. A variety of immune-related effector cells such as mast cells, eosinophils, neutrophils, and T cells are involved in food-related allergic responses categorized as IgE-mediated, non-IgE mediated, and mixed (IgE and non-IgE) depending upon underlying immunological mechanisms. The dietary antigens mainly target the gastrointestinal tract including pancreas that gets inflamed due to food allergy and leads acute pancreatitis. Reports indicate several food proteins induce pancreatitis; however, detailed underlying mechanism of food-induced pancreatitis is unexplored. The aim of the review is to understand and update the current scenario of food-induced pancreatitis. A comprehensive literature search of relevant research articles has been performed through PubMed and articles were chosen based on their relevance to food allergen mediated pancreatitis. Several cases in the literature indicating that acute pancreatitis has been provoked after the consumption of mustard, milk, egg, banana, fish, and kiwi fruits. Food-induced pancreatitis is an ignored and unexplored area of research. The review highlights the significance of food in the development of pancreatitis and draws the attention of physicians and scientists to consider food allergies as a possible cause for initiation of pancreatitis pathogenesis.

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Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Food-Induced Acute Pancreatitis

et al. 2017

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“…48,49 The proposed hypothesis is that inflammation, likely eosinophilic gastroenteritis, caused by hypersensitivity to a particular food causes edema and obstruction of the ampulla of Vater, leading to bile reflux into the pancreatic ducts, and resulting in pancreatitis. [48][49][50] Symptoms of pancreatitis are observed to occur a few hours after ingestion of the provoking food and can be accompanied by signs of anaphylaxis, such as urticaria, facial flushing, wheezing, headaches, diarrhea, and myalgia. 49 Avoidance of the offending food substance can prevent future attacks.…”

Section: Dietary Composition In Recurrent Acute Pancreatitis and Chromentioning

confidence: 99%

Nutritional advice for prevention of acute pancreatitis: review of current opinion

Lowe¹,

Sevilla²

2012

NDS

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Pancreatitis is inflammation of the pancreas that can be acute and self-limiting or, in a small percentage of patients, recurrent. Patients with recurrent episodes of acute pancreatitis (RAP) often progress to chronic pancreatitis. Pancreatitis in all forms causes significant economic and social burdens. Prevention of RAP may decrease those burdens and halt progression to chronic disease. Unfortunately, no therapy has proven effective at altering the course of RAP. While enteral nutritional therapy plays an important role in the treatment of acute pancreatitis during episodes, nutritional advice provided to patients in an attempt to prevent recurrent episodes has not proven effective in most cases. Discontinuing alcohol consumption and treating dyslipidemia with diet and medication can help patients with these issues. In patients whose pancreatitis is associated with celiac disease or eosinophilic gastroenteritis, a gluten-free diet and avoidance of food allergens can be effective in stopping RAP. Advice to take pancreatic enzyme replacement therapy, lose weight, control diabetes, decrease dietary sucrose, decrease dietary fat or avoid monosodium glutamate has little to no evidence of efficacy. Some studies suggest that an antioxidant cocktail may decrease the frequency of RAP and the intensity of chronic pain, but the evidence is weak. Nutritional therapy may have a role in the treatment of patients with RAP. At present, there are no clear guidelines for nutritional advice to give these patients. More studies are needed to identify nutritional interventions that will benefit patients with RAP.

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Kiwifruit Allergies

Bublin

2013

Nutritional Benefits of Kiwifruit

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Acute pancreatitis caused by allergy to kiwi fruit

Cited by 13 publications

References 4 publications

Food-Induced Acute Pancreatitis

Food-Induced Acute Pancreatitis

Nutritional advice for prevention of acute pancreatitis: review of current opinion

Kiwifruit Allergies

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