DESCRIPTION OF ALLERGIC PHENOTYPE IN PATIENTS WITH EOSINOPHILIC
OESOPHAGITIS.
Abstract
Background: We believe there is a profile of patient with
eosinophilic oesophagitis and atopic background, marked by the existence
of IgE-mediated sensitizations to environmental and food allergens. We
suspect that the prevalence of sensitization to panallergens will be
high and this will probably be relevant in terms of the onset and
clinical course of the disease. Our aim is to report the observed
sensitivities to environmental and food allergens in patients with
eosinophilic oesophagitis with atopic background as well as
characterizing other markers or analytical parameters in these patients.
Methods: We collated clinical and analytical data from 160
adult patients with a reported diagnosis of eosinophilic oesophagitis.
These patients were studied between 1 January 2012 and 31 December 2020.
During an initial visit skin tests were performed with full batteries of
routine aero-allergens and foodstuffs. Patients were subsequently
referred for blood test and determination of CAP, blood count and total
IgE (in all cases), as well as eosinophilic cation protein and
IMMUNOISAC in the centres in which this was available. Results:
We were able to detect a broad spectrum of sensitizations to
environmental, foodstuffs and panallergens. The most common allergic
disease was rhinoconjuntivitis. The sensitizations observed to
foodstuffs were atypical for the adult population and were not
responsible for manifestations compatible with immediate allergy. An
important percentage of patients presented seasonal worsening of choking
symptoms. Conclusions: We should be able to identify patients
with eosinophilic oesophagitis and atopic background. Identifying this
phenomenon would enable giving dietary and environmental recommendations
as well as more specific and effective treatments to our patients.