A case of acute pancreatitis possibly caused by allergy to banana.

Inamura, Hiroaki; Kashiwase, Yayoi; Sakata, Yoshiyuki; Hirai, Toshikazu; Ozawa, Masatoshi; Usui, Ryu; Okano, Akira; Kurosawa, Motohiro

doi:10.2492/jsir.23.51

Cited by 5 publications

(12 citation statements)

References 12 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 patient had recurrent episodes of acute pancreatitis accompanied by facial erythema with conjunctival injection, generalized pruritus, diarrhea, and eosinophilia after consumption of milk [13]. Inamura et al [10] published a case of recurrent acute pancreatitis (three episodes) caused by an allergy to bananas in a 47-year-old female with past history of allergic rhinitis. The patient was treated conservatively with light diet and intravenous fluids, with resolution of clinical symptoms within few days.…”

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%

“…The food induced allergic reactions typically occur within minutes to several hours of exposure and when the symptoms are severe, it can cause severe anaphylaxis [7]. The overreaction of the body’s immune system against the food antigens can affect several organs, including the respiratory and gastrointestinal (GI) tracts that lead to the development of asthma exacerbation, respiratory failure, esophagitis and gastroenteritis [2, 8, 9] Recently, food allergy has been implicated as one of the reasons that promotes acute pancreatitis [10–14]. Pancreatitis is characterized by acute or chronic inflammation which can be caused by various noxious stimuli such as gallstones, alcohol, and mutation in trypsinogen gene [15–17].…”

Section: Introductionmentioning

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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