Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis

Abstract Background and Aim Pollen exposure may induce seasonal onset of eosinophilic esophagitis. However, whether serum pollen‐specific immunoglobulin E positivity can predict such seasonal eosinophilic esophagitis onset remains unclear. Here, we aimed to evaluate the association between pollen‐sp...

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Main Authors: Akihiro Watanabe, Fumio Tanaka, Akinari Sawada, Yu Nishida, Hirotsugu Maruyama, Masaki Ominami, Koji Otani, Shusei Fukunaga, Shuhei Hosomi, Yasuhiro Fujiwara
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:JGH Open
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Online Access:https://doi.org/10.1002/jgh3.70052
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author Akihiro Watanabe
Fumio Tanaka
Akinari Sawada
Yu Nishida
Hirotsugu Maruyama
Masaki Ominami
Koji Otani
Shusei Fukunaga
Shuhei Hosomi
Yasuhiro Fujiwara
author_facet Akihiro Watanabe
Fumio Tanaka
Akinari Sawada
Yu Nishida
Hirotsugu Maruyama
Masaki Ominami
Koji Otani
Shusei Fukunaga
Shuhei Hosomi
Yasuhiro Fujiwara
author_sort Akihiro Watanabe
collection DOAJ
description Abstract Background and Aim Pollen exposure may induce seasonal onset of eosinophilic esophagitis. However, whether serum pollen‐specific immunoglobulin E positivity can predict such seasonal eosinophilic esophagitis onset remains unclear. Here, we aimed to evaluate the association between pollen‐specific immunoglobulin E positivity and the seasonal onset of eosinophilic esophagitis during the pollen dispersal period. Methods We seasonally classified eosinophilic esophagitis patients and compared their clinical and endoscopic findings. Seasonal trends with respect to the positivity rate of serum pollen‐specific immunoglobulin E were examined. Pollens such as alder, cedar, cypress, birch, orchard grass, timothy, ragweed, and mugwort were evaluated. We classified patients into two groups: tested positive or negative for each pollen‐specific immunoglobulin E. We then evaluated whether the positivity of each pollen‐specific immunoglobulin E was associated with the seasonal onset of eosinophilic esophagitis during the pollen dispersal period. Results We included 122 patients diagnosed with eosinophilic esophagitis between 2010 and 2019. Among them, 31 (25.4%), 42 (34.4%), 29 (23.8%), and 20 (16.4%) patients were diagnosed during spring, summer, fall, and winter, respectively. No significant differences were observed in clinical and endoscopic findings across seasons. No significant seasonal trends were observed in the positivity rate of each pollen‐specific immunoglobulin E. The positivity rate of alder‐specific immunoglobulin E was significantly associated with the seasonal onset of eosinophilic esophagitis (P < 0.01). However, the positivity rates of other pollen‐specific immunoglobulin E were not associated with the seasonal onset of eosinophilic esophagitis. Conclusions Serum alder‐specific immunoglobulin E positivity was associated with the seasonal onset of eosinophilic esophagitis.
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spelling doaj-art-143d6b431f164ecdb27c9892132ab5d72024-11-28T07:56:34ZengWileyJGH Open2397-90702024-11-01811n/an/a10.1002/jgh3.70052Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitisAkihiro Watanabe0Fumio Tanaka1Akinari Sawada2Yu Nishida3Hirotsugu Maruyama4Masaki Ominami5Koji Otani6Shusei Fukunaga7Shuhei Hosomi8Yasuhiro Fujiwara9Department of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanDepartment of Gastroenterology, Graduate School of Medicine Osaka Metropolitan University Osaka JapanAbstract Background and Aim Pollen exposure may induce seasonal onset of eosinophilic esophagitis. However, whether serum pollen‐specific immunoglobulin E positivity can predict such seasonal eosinophilic esophagitis onset remains unclear. Here, we aimed to evaluate the association between pollen‐specific immunoglobulin E positivity and the seasonal onset of eosinophilic esophagitis during the pollen dispersal period. Methods We seasonally classified eosinophilic esophagitis patients and compared their clinical and endoscopic findings. Seasonal trends with respect to the positivity rate of serum pollen‐specific immunoglobulin E were examined. Pollens such as alder, cedar, cypress, birch, orchard grass, timothy, ragweed, and mugwort were evaluated. We classified patients into two groups: tested positive or negative for each pollen‐specific immunoglobulin E. We then evaluated whether the positivity of each pollen‐specific immunoglobulin E was associated with the seasonal onset of eosinophilic esophagitis during the pollen dispersal period. Results We included 122 patients diagnosed with eosinophilic esophagitis between 2010 and 2019. Among them, 31 (25.4%), 42 (34.4%), 29 (23.8%), and 20 (16.4%) patients were diagnosed during spring, summer, fall, and winter, respectively. No significant differences were observed in clinical and endoscopic findings across seasons. No significant seasonal trends were observed in the positivity rate of each pollen‐specific immunoglobulin E. The positivity rate of alder‐specific immunoglobulin E was significantly associated with the seasonal onset of eosinophilic esophagitis (P < 0.01). However, the positivity rates of other pollen‐specific immunoglobulin E were not associated with the seasonal onset of eosinophilic esophagitis. Conclusions Serum alder‐specific immunoglobulin E positivity was associated with the seasonal onset of eosinophilic esophagitis.https://doi.org/10.1002/jgh3.70052eosinophilic esophagitiseosinophilsimmunoglobulin Epollenseasons
spellingShingle Akihiro Watanabe
Fumio Tanaka
Akinari Sawada
Yu Nishida
Hirotsugu Maruyama
Masaki Ominami
Koji Otani
Shusei Fukunaga
Shuhei Hosomi
Yasuhiro Fujiwara
Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
JGH Open
eosinophilic esophagitis
eosinophils
immunoglobulin E
pollen
seasons
title Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
title_full Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
title_fullStr Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
title_full_unstemmed Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
title_short Association between serum alder‐specific immunoglobulin E positivity and seasonal onset of eosinophilic esophagitis
title_sort association between serum alder specific immunoglobulin e positivity and seasonal onset of eosinophilic esophagitis
topic eosinophilic esophagitis
eosinophils
immunoglobulin E
pollen
seasons
url https://doi.org/10.1002/jgh3.70052
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