1. Two cases of eosinophilic gastrointestinal disorder due to newly appearing food allergies after cord blood transplantation.
- Author
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Naonori Harada, Yosuke Makuuchi, Masatomo Kuno, Teruhito Takakuwa, Hiroshi Okamur, Mitsutaka Nishimoto, Yasuhiro Nakashima, Hideo Koh, Miho Sakaidab Sayaka Tanaka, Yuko Kuwae, Akira Higashimori, Fumino Tanaka, Masahiko Ohsawa, Yasuhiro Fujiwara, Masayuki Hino, and Hirohisa Nakamae
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CORD blood transplantation , *FOOD allergy , *HEMATOPOIETIC stem cell transplantation , *IMMUNOGLOBULIN E , *ALLERGIES , *IRRITABLE colon - Abstract
Eosinophilic gastrointestinal disorders ( EGIDs) are infrequent complications after allogeneic hematopoietic cell transplantation (allo-HCT). Furthermore, it is well-known that allergic diseases are transferable after allo-HCT from allergic donors to non-allergic recipients. However, the type of graft-versus host disease (GVHD) prophy- laxis that leads to allergic disease transfer is unclear. Furthermore, no study has reported a case of acquired food allergy resulting in EC;ID that was detected based on the clinical course and the detection of antigen-specific immunoglobulin E after 8110-Her. We encountered two patients with acute leukemia accompanied by eosinophilic esophagitis (EoE) and eosinophilic gastroenteritis (EGE) due to newly appearing food allergy after cord blood transplantation (CBT) with T-cell non-depiction GVHD prophylaxis. Despite having no history of allergic disease, the patients experienced allergic symptoms due to dairy products (Case 1) and eggs (Case 2) after CBT. They subsequently experienced severe nausea, heartburn, and anorexia (Case 1) and diarrhea (Case 2). Cases 1 and 2 were diagnosed with EoE and EGE, respectively, based on endoscopic and histological examinations. Dietary treatment without steroids improved the symptoms in both cases. These cases highlight that the unexpected transfer of food allergy after CB'r can lead to EGIDs, especially iii patients receiving T-cell non-depiction GVHD prophylaxis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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