Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease

An allergic response to foreign intestinal antigens such as those contained in food has been implicated as a causative factor in the development of inflammatory bowel disease (IBD). In this study, we investigated the incidence of food allergy and other allergic disorders in Japanese patients with IB...

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Main Authors: Junichirou Nasu, Motowo Mizuno, Tokurou Uesu, Tomoki Inaba, Kimihiro Shimo, Masao Yoshioka, Michio Hirai, Yoshiko Matsuoka, Hiroyuki Okada, Takao Tsuji
Format: Article
Language:English
Published: Elsevier 1999-01-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S132389301531491X
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author Junichirou Nasu
Motowo Mizuno
Tokurou Uesu
Tomoki Inaba
Kimihiro Shimo
Masao Yoshioka
Michio Hirai
Yoshiko Matsuoka
Hiroyuki Okada
Takao Tsuji
author_facet Junichirou Nasu
Motowo Mizuno
Tokurou Uesu
Tomoki Inaba
Kimihiro Shimo
Masao Yoshioka
Michio Hirai
Yoshiko Matsuoka
Hiroyuki Okada
Takao Tsuji
author_sort Junichirou Nasu
collection DOAJ
description An allergic response to foreign intestinal antigens such as those contained in food has been implicated as a causative factor in the development of inflammatory bowel disease (IBD). In this study, we investigated the incidence of food allergy and other allergic disorders in Japanese patients with IBD. In addition, levels of serum IgE and IgG4 antibodies specific to various food antigens were measured. Twenty-six patients with Crohn’s disease (CD) and 32 patients with ulcerative colitis (UC) were studied. Two sex- and age-matched controls were selected for each patient. The incidence of food allergy (29.2%), drug allergy (28.0%), and atopic dermatitis (28.0%) in patients with CD was significantly higher than in their matched controls (P < 0.05); however, no significant association was observed in UC patients. Levels of serum IgE specific to food allergens were similar among the groups, but the levels of IgG4 antibody specific to soybean, were significantly higher in patients with CD than in UC patients or controls. Our observations suggest that allergic disorders or dysregulation of immune responses to certain intestinal antigens can be found in CD patients in Japan in association with their disease.
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spelling doaj.art-41007d1103e84cdbac2a6832e2c8a60b2022-12-22T02:29:20ZengElsevierAllergology International1323-89301999-01-0148424725110.1046/j.1440-1592.1999.00140.xIncreased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s diseaseJunichirou NasuMotowo MizunoTokurou UesuTomoki InabaKimihiro ShimoMasao YoshiokaMichio HiraiYoshiko MatsuokaHiroyuki OkadaTakao TsujiAn allergic response to foreign intestinal antigens such as those contained in food has been implicated as a causative factor in the development of inflammatory bowel disease (IBD). In this study, we investigated the incidence of food allergy and other allergic disorders in Japanese patients with IBD. In addition, levels of serum IgE and IgG4 antibodies specific to various food antigens were measured. Twenty-six patients with Crohn’s disease (CD) and 32 patients with ulcerative colitis (UC) were studied. Two sex- and age-matched controls were selected for each patient. The incidence of food allergy (29.2%), drug allergy (28.0%), and atopic dermatitis (28.0%) in patients with CD was significantly higher than in their matched controls (P < 0.05); however, no significant association was observed in UC patients. Levels of serum IgE specific to food allergens were similar among the groups, but the levels of IgG4 antibody specific to soybean, were significantly higher in patients with CD than in UC patients or controls. Our observations suggest that allergic disorders or dysregulation of immune responses to certain intestinal antigens can be found in CD patients in Japan in association with their disease.http://www.sciencedirect.com/science/article/pii/S132389301531491Xallergic disorderfood allergyIgEIgG4inflammatory bowel disease
spellingShingle Junichirou Nasu
Motowo Mizuno
Tokurou Uesu
Tomoki Inaba
Kimihiro Shimo
Masao Yoshioka
Michio Hirai
Yoshiko Matsuoka
Hiroyuki Okada
Takao Tsuji
Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
Allergology International
allergic disorder
food allergy
IgE
IgG4
inflammatory bowel disease
title Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
title_full Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
title_fullStr Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
title_full_unstemmed Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
title_short Increased incidence of allergic disorders and elevated food-specific serum IgG4 levels in Japanese patients with Crohn’s disease
title_sort increased incidence of allergic disorders and elevated food specific serum igg4 levels in japanese patients with crohn s disease
topic allergic disorder
food allergy
IgE
IgG4
inflammatory bowel disease
url http://www.sciencedirect.com/science/article/pii/S132389301531491X
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