Eosinophilic Gastroenteritis Due To Egg Allergy Presenting As Acute Pancreatitis

Tse, Kevin; Christiansen, Sandra C.

doi:10.1016/j.jaci.2013.12.924

Cited by 4 publications

(6 citation statements)

References 2 publications

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“…After treatment with oral prednisolone and montelukast, the eosinophil count normalised and the upper abdominal pain was reduced [28]. Food allergy is implicated one of the reasons for EP-associated EG, and clinical reports indicate eosinophilic gastroenteritis-associated EP is due to egg [39] and cow's milk allergy [27]. However, several case reports also suggest that EP occurs without peripheral or any other gastrointestinal segment eosinophilia.…”

Section: Eosinophilic Infiltration In Acute Pancreatitis and Its Assomentioning

confidence: 99%

Eosinophilic pancreatitis: a rare or unexplored disease entity?

Manohar

Verma

Singh

et al. 2020

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Several case reports show accumulation of eosinophils in pancreatitis patients and term the disease as "eosinophilic pancreatitis (EP)". EP usually presents with a pancreatic tumour and abdominal pain in obstructive jaundice, which is generally not diagnosed until the patient undergoes pancreatic resection. Histologically, EP reveals distinct patterns like diffused, periductal, acinar, and septal inflammatory infiltrates with eosinophils, eosinophilic phlebitis, and localised extreme eosinophilic infiltrates related with pseudocyst formation. EP patients also have elevated serum IgE levels with high eosinophil counts in the pancreas as well as in other organs such as the gastrointestinal tract, which is termed as eosinophilic gastroenteritis. Due to the lack of knowledge based on just a few case reports, it is considered that eosinophilic infiltration is quite rare in the pancreas; therefore, the significance of eosinophils in pancreatitis is not yet established. This review assesses the current understanding of eosinophilic pancreatitis and the important role of eosinophils in promoting pancreatic fibrosis including malignancy.

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Section: Eosinophilic Infiltration In Acute Pancreatitis and Its Assomentioning

confidence: 99%

Eosinophilic pancreatitis: a rare or unexplored disease entity?

Manohar

Verma

Singh

et al. 2020

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“…History of allergy was reported in 8 cases: asthma (3/8) [1,2], rhinitis (1/8) [3], pet allergy (1/8) [4], food allergies involving cow's milk (2/3) [5,6] and egg allergy (1/3) [7], as well as association of allergic diseases (asthma, rhinitis and food allergy) (1/8) [5].…”

Section: Ege and Pancreatitis Group (Ege-p)mentioning

confidence: 99%

“…Patients with abdominal pain also experienced at least one additional symptom: diarrhea, nausea/ vomiting and weight loss in 3/19 cases [1], nausea/ vomiting and weight loss 4/19 [5,6,8,9], diarrhea and nausea/vomiting 3/19 [7,10,11] or only abdominal pain associated with weight loss (2/19) [2,12], nausea/vomiting (2/19) [1,4] and diarrhea (1/19) [3]. Jaundice (5/20) [2,6,9,13], deep vein thrombosis (1/20) [11], history of lipodystrophy at the age of 7 years (1/20) [12] and CA125 (1/20) [3] or IL5 (1/20) [14] values above the range were also reported.…”

Section: Ege and Pancreatitis Group (Ege-p)mentioning

confidence: 99%

“…Besides supportive measures for pancreatitis episode and conservative treatment in a patient with food allergies [7], 7/20 received corticotherapy (CS) [1,3,8,11,14,17], 1/20 sodium cromoglycate [1], while the remaining patients received in addition to CS: montelukast (1/20) [10], Ketotifen (1/20) [6] and both histamine and leukotriene receptor antagonist (1/20) [5].…”

Section: Ege and Pancreatitis Group (Ege-p)mentioning

confidence: 99%

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Eosinophilic pancreatitis versus pancreatitis associated with eosinophilic gastroenteritis – a systematic review regarding clinical features and diagnosis

Pinte

Băicuș

2019

Romanian Journal of Internal Medicine

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Background. Over the past years, eosinophil infiltration involving the gastrointestinal tract and pancreas leading to eosinophilic pancreatitis, eosinophilic gastroenteritis and hypereosinophilic syndrome has been reported in the literature. We aimed to analyze and compare the features involving patients with eosinophilic pancreatitis and pancreatitis associated with eosinophilic gastroenteritis and to determine if there is a connection between the two disorders or if they in fact meet the diagnostic criteria for hypereosinophilic syndrome. Material and methods. The following search was performed in March 2019 on PubMed (MEDLINE) database using the medical terms “pancreatitis”, “eosinophilic pancreatitis”, “eosinophilic gastroenteritis” and “hypereosinophilic syndrome”. Results. The search revealed 119 publications from 1970 onwards. A total of 83 papers were excluded, and the remaining 36 publications, consisting in case reports and case series, were analyzed. From 45 patients, 20 subjects with eosinophilic gastroenteritis developed pancreatitis, 20/45 had eosinophilic pancreatitis, and 5/45 hypereosinophilic syndrome involving the pancreas. There was no significant difference regarding clinical, laboratory and imaging features between the three groups, despite the multiple theories that explain the association of pancreatic and gastrointestinal eosinophilic infiltration. Although there was a strong resemblance between the three groups, histological evidence of eosinophilic gastrointestinal infiltration guided the treatment towards a less invasive way, while subjects with eosinophilic pancreatitis underwent pancreatic surgery to exclude potentially malignant lesions. Conclusion. Although there are various theories that explain pancreatitis development in patients with eosinophilic gastroenteritis, hypereosinophilia diagnostic work-up should be taken into account in all patients with high number of blood eosinophils, even in those with eosinophilic pancreatitis in order to establish the diagnosis using a minimally invasive approach and to apply an adequate treatment.

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“…Non-IgE mediated symptoms include eosinophilic diseases of the gut or egg-induced enterocolitis [2,3]. There is evidence of a strong association between sensitization to egg during infancy and, later, to inhalant allergens.…”

Section: Introductionmentioning

confidence: 99%

Adult Onset Egg Allergy: A Case Report

Cremonte

Galdi

Roncallo

et al. 2021

Preprint

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Background: Egg allergy is one of the most frequent food allergies in childhood while adult onset of egg allergy is a rare condition.Case presentation: We report the case of a 30 years old man sent to our center in order to investigate gastrointestinal symptoms occurring since two years after egg and derivatives intake. He did not suffer from egg or other food allergies in childhood. He is an active smoker with a contact dermatitis related to nickel and mild allergic rhinoconjunctivitis to grass pollen. Skin prick test and serum specific IgE to egg were performed and revealed sensitization to egg proteins. Conclusions: Even though IgE-mediated egg allergy affects children, this report witnesses a rare case of adult onset.

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Eosinophilic Gastroenteritis Due To Egg Allergy Presenting As Acute Pancreatitis

Cited by 4 publications

References 2 publications

Eosinophilic pancreatitis: a rare or unexplored disease entity?

Eosinophilic pancreatitis: a rare or unexplored disease entity?

Eosinophilic pancreatitis versus pancreatitis associated with eosinophilic gastroenteritis – a systematic review regarding clinical features and diagnosis

Adult Onset Egg Allergy: A Case Report

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