Food allergy-related paediatric constipation: the usefulness of atopy patch test

Syrigou, Ekaterini; Pitsios, Constantinos; Panagiotou, Ioanna; Chouliaras, Giorgos; Kitsiou, Sofia; Kanariou, Mary; Roma-Giannikou, Eleftheria

doi:10.1007/s00431-011-1417-6

Cited by 21 publications

(26 citation statements)

References 21 publications

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“…Besinlerle yapılan APT, AD'de ön plana çıkmakla birlikte besinlere bağlı diğer alerjik durumlarda da tartışmalı bir tanı yöntemidir. Kronik konstipasyon nedeniyle besin alerjisi düşünülen çocuklarda besinlerle yapılan APT'nin IgE aracılıklı olmayan gıda alerjilerinin tespitinde ve eliminasyon diyetine karar verme konusunda yararlı bir tanı yöntemi olduğu bildirilmiştir 15 . Sonuç olarak inhalan allerjenlerle yapılan APT bile halen tam olarak standardize edilebilmiş değildir ve besinler için bu problem çok daha belirgindir.…”

Section: Discussionunclassified

Besinlerle Yapılan Atopi Yama Testinin SCORAD İle İlişkisi

Kutlu¹,

Aydın²,

Karabacak³

et al. 2013

Turkderm

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Türk derm-De ri Has ta lık la rı ve Fren gi Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra f›n dan ba s›l m›fl t›r. Turk derm-Arc hi ves of the Tur kish Der ma to logy and Ve ne ro logy, pub lis hed by Ga le nos Pub lis hing. ÖzetAmaç: Besinlerle atopik dermatit (AD) kliniği arasındaki ilişki tartışmalıdır.Besinlerle yapılan "fresh prick testleri"nin (FPT) özgünlüğünün düşük olması, AD'de çoğunlukla lezyonların geç ortaya çıkması ve buna bağlı anamnezdeki tutarsızlıklar, provokasyon testinin zaman alıcı ve riskli olması, hastalığın fizyopatolojisinde T lenfositlerin oynamış olduğu rol, atopi yama testini (APT: "Atopy Patch Test") ön plana çıkartmaktadır. Bu çalışmada besinlerle yapılan APT ve FPT'nin hastalığın ağırlığını yansıtan SCORAD indeksi ile olan ilişkisi araştırılmıştır. Sum maryBackground and Design: The relationship between food and atopic dermatitis (AD) is controversial. Atopy patch test (APT) gained prominence due to low specificity of "fresh prick tests" (FPT) with foods, commonly late occurrence of lesions in AD and, thus, the inconsistencies in anamneses, and being the provocative tests time consuming and risky, as well as due to the role of T lymphocytes in the pathophysiology of the disease. In this study, we investigated the relationship of APT and FPT made with food with SCORAD index assessing the disease severity. Materials and Methods: Forty-five children (21 males and 24 females) aged between 2-15 years who were diagnosed with AD in our outpatient clinic between May 2006 and May 2007 were included in the study. FPT and APT with eggs, milk and wheat flour were performed in all patients. The severity of illness was assessed using the SCORAD index. Statistical analysis was performed using SPSS version 11.0 for Windows. A p value of less than 0.05 was considered statistically significant.

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Section: Discussionunclassified

Besinlerle Yapılan Atopi Yama Testinin SCORAD İle İlişkisi

Kutlu¹,

Aydın²,

Karabacak³

et al. 2013

Turkderm

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“…Syrigou et al (34) showed that constipation improved in 28 of 32 children after an eight-week diet free of foods (wheat, egg, cow's milk, rice, corn, soy) whose specific IgE levels, skin prick tests, or atopy patch tests were positive. Twenty-seven responders had positive patch tests, and eight also had positive specific IgE and/or skin prick tests.…”

Section: Food Allergy and Fcmentioning

confidence: 99%

Allergy in Children with Functional Constipation and Irritable Bowel Syndrome

et al. 2016

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Context: Functional constipation (FC) and irritable bowel syndrome (IBS) represent very common pediatric functional gastrointestinal disorders (FGIDs). Controversial results have suggested a potential role of food allergy as a trigger of functional bowel symptoms. Evidence Acquisition: This review summarizes the literature regarding the role of allergic diseases in children with FC and IBS and discusses the hypothesis of the pathogenesis of constipation due to cow's milk protein allergy (CMPA). We searched systematic reviews, guidelines, or original data in PubMed, MEDLINE, and the Cochrane central register of controlled trials. Results: The pathogenesis of FGIDs remains elusive and is likely multifactorial. Among these factors, adverse reactions to food may play a pathogenic role. Some features, such as abnormal bowel motility, visceral hypersensitivity, and changes in mucus composition caused by inflammation of the gastrointestinal wall, have been found both in IBS or FC and in food allergy. Since 1978, an increasing number of reports have suggested a relationship between CMPA and FC. Two randomized controlled studies conducted in children showed that CMPA may induce chronic FC; one study indicated that fermentable oligosaccharide, disaccharide, and monosaccharide polyols (FODMAP) foods may play a role in triggering IBS. Conclusions: Food allergy in children with chronic constipation should be identified using an oral food challenge after being on a diet free of cow's milk. A diet low in FODMAPs might also be recommended for children with IBS. This approach could be suggested for children with chronic FC and IBS, especially when they do not respond to standard treatment. However, it should also be considered that a minority of patients with FC or IBS could respond to an elimination diet. Further studies are needed to understand the complex pathogenic mechanisms of FGIDs; they also might be helpful to recognize markers for identifying children with IBS and FC caused by foods and to improve their management.

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“…Constipation may result from a previous painful defecation, with the child avoiding defecation to avoid a repeat painful experience . Food allergy is also associated with functional constipation in children, with milk, egg, and wheat being the most common allergens associated with constipation . Dietary factors such as fluid and dietary fiber intake are contributors in the development of functional constipation …”

Section: Introductionmentioning

confidence: 99%

Dietary treatments for childhood constipation: efficacy of dietary fiber and whole grains

Stewart

Schroeder

2013

Nutr Rev

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Constipation in children is defined on the basis of several clusters of symptoms, and these symptoms are likely to persist into adulthood. The aim of this review article is to summarize the current literature on the use of dietary fiber and whole grains as treatments for childhood constipation. Current recommendations for fiber intake in children vary substantially among organizations, suggesting that the function of fiber in children is not fully understood. Additionally, no formal definition of "whole grain" exists, which further complicates the interpretation of the literature. Few randomized controlled trials have examined the effect of dietary fiber supplementation in children with constipation. Currently, no randomized controlled trials have investigated the efficacy of whole grains in treating childhood constipation. This is an area that warrants further attention. Increasing the intake of dietary fiber and/or whole grain has the potential to relieve childhood constipation; however, additional randomized controlled trials are necessary to make a formal recommendation.

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Food allergy-related paediatric constipation: the usefulness of atopy patch test

Cited by 21 publications

References 21 publications

Besinlerle Yapılan Atopi Yama Testinin SCORAD İle İlişkisi

Besinlerle Yapılan Atopi Yama Testinin SCORAD İle İlişkisi

Allergy in Children with Functional Constipation and Irritable Bowel Syndrome

Dietary treatments for childhood constipation: efficacy of dietary fiber and whole grains

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