Evidence map›Paper›PMID 34536216›Full record

ArticleClinical journal of gastroenterology2021

A case series of sublingual immunotherapy-induced eosinophilic esophagitis: stop or spit.

Yasuhiro Fujiwara, Fumio Tanaka, Akinari Sawada, Yuji Nadatani, Yasuaki Nagami, Koichi Taira, Naohiro Nakamura, Toshio Watanabe, Masahiko Ohsawa, Hirokazu Sakamoto

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In one paragraph

Article in Clinical journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Eosinophilic gastrointestinal diseases.Nature reviews. Disease primers · 2026
    Review
  3. Eosinophilic esophagitis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. A case of food and aeroallergen sublingual immunotherapy inducing eosinophilic esophagitis.The journal of allergy and clinical immunology. Global · 2023
    Article
  9. Review
  10. A Pediatric Case of Reversible Eosinophilic Duodenitis Associated With Sublingual Immunotherapy.Pediatrics international : official journal of the Japan Pediatric Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Yasuhiro FujiwaraDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan. yasu@med.osaka-cu.ac.jp.ORCID http://orcid.org/0000-0002-1225-1785
Fumio TanakaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan.
Akinari SawadaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan.
Yuji NadataniDepartment of Premier Preventive Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuaki NagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan.
Koichi TairaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abenoku, Osaka, 545-8585, Japan.
Naohiro NakamuraThird Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Toshio WatanabeDepartment of Premier Preventive Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
Masahiko OhsawaDepartment of Diagnostic Pathology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hirokazu SakamotoDepartment of Otolaryngology, Head and Neck Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Osaka City University · JPKansai Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We experienced six cases with eosinophilic esophagitis (EoE). They complained of dysphagia, heartburn, or retrosternal discomfort. Endoscopy revealed typical findings of EoE and biopsy examination showed significant eosinophil infiltration in the esophageal epithelium. They received sublingual immunotherapy (SLIT) for allergic rhinitis. Discontinuation or spit method during SLIT resulted in improvement of symptoms, and endoscopic and histological remission. Previously six cases with SLIT-induced EoE has been reported. Our case series suggest that SLIT is clearly associated with the development of EoE by entering of aeroallergens from the luminal side of the esophagus and spit method during SLIT might be one of the therapeutic options for SLIT-induced EoE.

Indexed as

Deglutition DisordersEosinophilic EsophagitisSublingual ImmunotherapyEndoscopyHumansAeroallergensEosinophilic esophagitisSublingual immunotherapy

Identifiers

PMID34536216
OpenAlexW3201607785

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.