1. Food‐specific IgA levels in esophageal biopsies are not sufficiently high to predict food triggers in eosinophilic esophagitis
- Author
-
Lior Abramson, Johanna M. Smeekens, Michael D. Kulis, and Evan S. Dellon
- Subjects
elimination diet ,eosinophilic esophagitis ,esophageal biopsy ,food trigger ,IgA ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Abstract Background Eosinophilic esophagitis (EoE) is an immune‐mediated disease, characterized by Th2‐type inflammation linked to specific foods. No currently available allergy tests reliably identify food triggers in EoE, leading to empiric dietary elimination strategies. Recently, milk‐ and wheat‐specific IgA in esophageal brushings were linked to clinical food triggers. In this study, we aimed to determine whether food‐specific IgA from esophageal biopsies is associated with known food triggers. Methods A prior cohort of 21 patients (median age 39 years) with confirmed EoE underwent empirical elimination diets and subsequent reintroduction of foods to determine triggers. Archived baseline biopsies were used to quantify levels of peanut‐, milk‐, soy‐, egg‐, wheat‐specific and total IgA by enzyme‐linked immunosorbent assay. Results Overall, 13 patients (62%) responded to the dietary elimination as determined by histology (
- Published
- 2023
- Full Text
- View/download PDF