The link between allergies and eosinophilic esophagitis: implications for management strategies.

The link between allergies and eosinophilic esophagitis: implications for management strategies.
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DOI:
10.1586/eci.09.74
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发表时间:
2010-01
影响因子:
4.4
通讯作者:
Spergel JM
Spergel JM
中科院分区:
医学3区
文献类型:
--
作者:
Brown-Whitehorn TF;Spergel JM

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嗜酸性粒细胞性食管炎(EE)的诊断与其他特应性疾病相似,发病率增加。我们对特应性疾病(即哮喘、过敏性鼻炎和特应性皮炎)和EE之间的共同特征进行了最近的文献综述。所有这些疾病都有过敏原触发和疾病部位可能存在Th2炎症的证据。小鼠模型也显示出T细胞和Th2细胞因子对疾病发展的重要性的类似特征。哮喘和EE中TGF-β表达增加,这些疾病都有潜在的炎症和重塑的潜力。然而,两种疾病在治疗和发病机制上确实存在差异。对于情感表达,有两种基本的治疗选择:避免食物触发或用皮质类固醇治疗嗜酸性粒细胞炎症。
Eosinophilic esophagitis (EE) has an increased incidence of diagnosis similar to other atopic diseases. We present a recent literature review of the common features between atopic diseases (i.e., asthma, allergic rhinitis and atopic dermatitis) and EE. All of the disorders have allergen triggers and evidence of a possible Th2 inflammation at the site of disease. Murine models have also shown similar features with the importance of T cells and Th2 cytokines for the development of disease. The diseases share underlying inflammation with the potential for remodeling with an increase in TGF-β expression in asthma and EE. However, differences do exist between the diseases in treatment and pathogenesis. For EE, there are two basic treatment options: avoidance of the food triggers or treatment of the eosinophilic inflammation with corticosteroids.
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