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Current Allergy and Asthma Reports

, Volume 12, Issue 4, pp 297–303 | Cite as

Non–IgE-Mediated Gastrointestinal Food Allergies: Distinct Differences in Clinical Phenotype Between Western Countries and Japan

  • Ichiro NomuraEmail author
  • Hideaki Morita
  • Yukihiro Ohya
  • Hirohisa Saito
  • Kenji MatsumotoEmail author
FOOD ALLERGY (D ATKINS, SECTION EDITOR)

Abstract

Non-IgE-mediated gastrointestinal food allergies, including food-protein-induced enterocolitis, enteropathy, proctocolitis and allergic eosinophilic gastroenteritis, seem to be increasing in several regions in the world. However, unlike the case of IgE-mediated food allergy, development of diagnostic laboratory tests and our understanding of the immunological mechanisms involved in non-IgE-mediated gastrointestinal food allergies lag. Although the clinical entities in Western countries have been well established, the clinical phenotypes might differ somewhat among the human races and geographical regions. In Japan, non-IgE-mediated gastrointestinal food allergies have increased sharply since the late 1990s, and clinicians have sometimes experienced confusion because of differences in the clinical phenotypes from those seen in Western countries. Aiming to solve this problem, we performed clinical research and determined a useful method for dividing patients into four clusters with distinctive clinical symptoms. We are confident this method will help in diagnosing and treating these patients. We also tried to clarify the differences between these patients in Japan and Western countries.

Keywords

Non–IgE-mediated gastrointestinal food allergy Gastrointestinal allergy GI allergy) Food protein–induced enterocolitis syndrome (FPIES) Food protein–induced enteropathy syndrome (enteropathy) Food protein–induced proctocolitis syndrome (proctocolitis) Eosinophilic esophagitis (EoE) Allergic eosinophilic gastroenteritis (AEG) Food challenge test Food allergy Eosinophil Lymphocyte proliferation test Cluster analysis Phenotype Japan 

Notes

Acknowledgments

The authors acknowledge Mrs. Chihiro Usami for her fine work as secretary of the Japanese Research Group on GI Allergy. They also wish to thank all members of the Departments of Allergy, Gastroenterology, Inter-disciplinary Medicine and Neonatology in the NCCHD hospital, as well as Ms. Naoko Aida and the staff of Allergy and Immunology in the NCCHD research center, for their tireless efforts to diagnose and treat patients.

Disclosure

No potential conflicts of interest relevant to this article were reported.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Allergy and ImmunologyNational Research Institute for Child Health and DevelopmentTokyoJapan
  2. 2.Division of AllergyNational Research Center for Child Health and DevelopmentTokyoJapan
  3. 3.Department of PediatricsKeio University School of MedicineTokyoJapan
  4. 4.TokyoJapan

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