rdf:type |
|
lifeskim:mentions |
umls-concept:C0007320,
umls-concept:C0014356,
umls-concept:C0017262,
umls-concept:C0021270,
umls-concept:C0039082,
umls-concept:C0079189,
umls-concept:C0085973,
umls-concept:C0185117,
umls-concept:C0882828,
umls-concept:C1883561,
umls-concept:C2911684
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pubmed:dateCreated |
2009-12-16
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pubmed:abstractText |
Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy characterized by severe vomiting, diarrhea, and often failure to thrive in infants. Symptoms typically resolve after the triggering food-derived protein is removed from the diet and recur within few hours after the re-exposure to the causal protein. The diagnosis is based on clinical symptoms and a positive food challenge. In this study, we report a case of FPIES to rice in an 8-month-old boy. We performed a double-blind placebo-controlled food challenge (DBPCFC) to rice and we measured the intracellular T cell expression of interleukin-4 (IL-4); IL-10, and interferon gamma (IFN-gamma) pre-and post-challenge during an acute FPIES reaction and when tolerance to rice had been achieved. For the first time we describe an increase in T cell IL-4 and decrease in IFN-gamma expression after a positive challenge with rice (i.e. rice triggered a FPIES attack) and an increase in T cell IL-10 expression after rice challenge 6 months later after a negative challenge (i.e., the child had acquired tolerance to rice) in an 8 month old with documented FPIES to rice. A Th2 activation associated with high IL-4 levels may contribute to the pathophysiology of the disease. On the other hand, T cell-derived IL-10 may play a role in the acquisition of immunotolerance by regulating the Th1 and Th2 responses.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-10518834,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-10678717,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-10887343,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-11069569,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-11799382,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-12671120,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-12911514,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-15637562,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-16697497,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-18829623,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-19130927,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-19136382,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-19188266,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-4039696,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-568171,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-7560641,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-8194697,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-9155835,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-9536936,
http://linkedlifedata.com/resource/pubmed/commentcorrection/20011655-9709708
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pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
IM
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pubmed:chemical |
|
pubmed:status |
MEDLINE
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pubmed:issn |
1740-2530
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pubmed:author |
|
pubmed:issnType |
Electronic
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pubmed:volume |
2009
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
679381
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pubmed:dateRevised |
2010-9-28
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pubmed:meshHeading |
pubmed-meshheading:20011655-Antigens, CD3,
pubmed-meshheading:20011655-Breast Feeding,
pubmed-meshheading:20011655-Cytokines,
pubmed-meshheading:20011655-Diarrhea,
pubmed-meshheading:20011655-Enterocolitis,
pubmed-meshheading:20011655-Food Hypersensitivity,
pubmed-meshheading:20011655-Humans,
pubmed-meshheading:20011655-Immune Tolerance,
pubmed-meshheading:20011655-Immunization,
pubmed-meshheading:20011655-Infant,
pubmed-meshheading:20011655-Male,
pubmed-meshheading:20011655-Oryza sativa,
pubmed-meshheading:20011655-Th1 Cells,
pubmed-meshheading:20011655-Th2 Cells,
pubmed-meshheading:20011655-Vomiting
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pubmed:year |
2009
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pubmed:articleTitle |
Cytokine expression in CD3+ cells in an infant with food protein-induced enterocolitis syndrome (FPIES): case report.
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pubmed:affiliation |
Allergy and Clinical Immunology Unit, Department of Pediatrics, Meyer Children Hospital, University of Florence, 50122 Florence, Italy. f.mori@meyer.it
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pubmed:publicationType |
Journal Article,
Case Reports
|