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舌下免疫疗法使用气传变应原梯牧草花粉过敏提取物继发嗜酸性粒细胞性食管炎:一例报告

Eosinophilic Esophagitis Secondary to Sublingual Immunotherapy Using the Aeroallergen Timothy Grass Pollen Allergy Extract: A Case Report.

作者信息

Agrawal Ashwin, Teitelbaum Jonathan E, Shertz-Dipietro Wendy, Vavrukh Petro

机构信息

Department of Pediatric Gastroenterology, RWJBarnabas Health, Long Branch, USA.

Department of Pathology, Monmouth Medical Center, Long Branch, USA.

出版信息

Cureus. 2025 Aug 12;17(8):e89867. doi: 10.7759/cureus.89867. eCollection 2025 Aug.

DOI:10.7759/cureus.89867
PMID:40951087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12424089/
Abstract

Eosinophilic esophagitis results in a chronic immune-mediated condition of the esophagus characterized by esophageal dysfunction and eosinophil-predominant inflammation. While food-based oral immunity therapy (OIT) is a recognized trigger for eosinophilic esophagitis, the impact of sublingual immunotherapy (SLIT) for aeroallergens is less well established. We present an unusual case of eosinophilic esophagitis in a 14-year-old male induced by SLIT and resolved after discontinuing SLIT with Timothy grass pollen allergy extract (GRASTEK®, ALK-Abelló, Inc., Bedminster, USA), which, to our knowledge, has not been previously reported.

摘要

嗜酸性粒细胞性食管炎会导致一种慢性免疫介导的食管疾病,其特征为食管功能障碍和以嗜酸性粒细胞为主的炎症。虽然基于食物的口服免疫疗法(OIT)是嗜酸性粒细胞性食管炎公认的诱发因素,但舌下免疫疗法(SLIT)对吸入性变应原的影响尚不明确。我们报告了一例不寻常的病例,一名14岁男性因SLIT诱发嗜酸性粒细胞性食管炎,停用美国新泽西州贝丁顿ALK-阿伯洛公司生产的梯牧草花粉变应原提取物(GRASTEK®)进行的SLIT后病情缓解,据我们所知,此前尚无此类病例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203e/12424089/ea3b74d0c1c6/cureus-0017-00000089867-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203e/12424089/81b3785b8f52/cureus-0017-00000089867-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203e/12424089/ea3b74d0c1c6/cureus-0017-00000089867-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203e/12424089/81b3785b8f52/cureus-0017-00000089867-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203e/12424089/ea3b74d0c1c6/cureus-0017-00000089867-i02.jpg

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本文引用的文献

1
ACG Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis.美国胃肠病学会临床指南:嗜酸性食管炎的诊断与管理
Am J Gastroenterol. 2025 Jan 1;120(1):31-59. doi: 10.14309/ajg.0000000000003194. Epub 2025 Jan 2.
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The Relationship Between Eosinophilic Esophagitis and Immunotherapy.嗜酸性粒细胞性食管炎与免疫疗法的关系。
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Eosinophilic esophagitis improved by the discontinuation of sublingual immunotherapy for aeroallergens: a case report.
因停用气传变应原舌下免疫疗法而改善的嗜酸性粒细胞性食管炎:一例报告
Front Pediatr. 2024 Mar 19;12:1379162. doi: 10.3389/fped.2024.1379162. eCollection 2024.
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J Pediatr Gastroenterol Nutr. 2023 Jan 1;76(1):53-58. doi: 10.1097/MPG.0000000000003631. Epub 2022 Oct 4.
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Eosinophilic Esophagitis due to Aeroallergens: A Systematic Review and Update.变应原性嗜酸性粒细胞性食管炎:系统评价和更新。
J Investig Allergol Clin Immunol. 2022 Dec 15;32(6):438-450. doi: 10.18176/jiaci.0853. Epub 2022 Aug 24.
8
Recurrence of eosinophilic oesophagitis with subcutaneous grass pollen immunotherapy.嗜酸性食管炎伴皮下草花粉免疫疗法的复发
BMJ Case Rep. 2018 Mar 15;2018:bcr-2017-223465. doi: 10.1136/bcr-2017-223465.
9
Eosinophilic esophagitis induced by aeroallergen sublingual immunotherapy in an enteral feeding tube-dependent pediatric patient.肠内营养管依赖型儿科患者因气传变应原舌下免疫疗法诱发的嗜酸性粒细胞性食管炎。
Ann Allergy Asthma Immunol. 2017 Jul;119(1):88-89. doi: 10.1016/j.anai.2017.05.004. Epub 2017 May 31.
10
Esophageal hypereosinophilia induced by grass sublingual immunotherapy.草舌下免疫疗法诱发的食管嗜酸性粒细胞增多症。
J Allergy Clin Immunol. 2014 May;133(5):1482-4. doi: 10.1016/j.jaci.2014.01.030. Epub 2014 Mar 15.