Evidence map›Paper›PMID 34786374›Full record

ArticleAsia Pacific allergy2021

Eosinophilic esophagitis induced by sublingual immunotherapy with cedar pollen: a case report.

Daisuke Suto, Kazumoto Murata, Takaaki Otake, Eiichiro Ichiishi, Kiichi Sato, Shinya Okada, Mitsuhiro Okano, Yutaka Kohgo

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Asia Pacific allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Clinical Practice Guideline: Immunotherapy for Inhalant Allergy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Guideline
  3. Trial
  4. Review
  5. Review
  6. Asia Pacific allergy · 2021
    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

8 authors at 2 institutions in 1 country.

Daisuke SutoDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0003-1439-359X
Kazumoto MurataDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0002-3419-6297
Takaaki OtakeDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.
Eiichiro IchiishiDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0002-3493-6152
Kiichi SatoDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0001-5952-1861
Shinya OkadaDepartment of Pathology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0001-6807-1735
Mitsuhiro OkanoDepartment of Otorhinolaryngology, International University of Health and Welfare, Narita Hospital, Narita, Japan.
Yutaka KohgoDepartment of Gastroenterology, International University of Health and Welfare Hospital, Nasushiobara, Japan.ORCID https://orcid.org/0000-0001-7076-2842
International University of Health and Welfare · JPJichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eosinophilic esophagitis (EoE) is a chronic inflammatory disease associated with eosinophilic infiltration of the esophageal mucosa mostly due to exposure to allergens. However, the causes and pathogenesis of EoE are not fully understood. We encountered a case of EoE that was triggered by sublingual immunotherapy (SLIT) for cedar pollen allergy. A 40-year-old man who was treated with Japanese cedar pollen tablet SLIT for cedar pollen allergy developed heartburn 3 weeks after the initiation of the treatment. He took vonoprazan for the heartburn, but the heartburn did not improve. Then, esophagogastroduodenoscopy was performed; it revealed longitudinal furrows and white spots on the esophageal mucosa, decreased vascular permeability, and erosions. Consequently, the patient was diagnosed with EoE. Heartburn and chest discomfort disappeared 1 week after the discontinuation of Japanese cedar pollen tablet SLIT, and the patient tested positive for drug allergy to Japanese cedar pollen tablet SLIT. In this study, we found that if heartburn persists during SLIT for cedar pollen allergy, and does not improve on administration of vonoprazan or proton pump inhibitors, EoE should be suspected. In addition, the occurrence of EoE due to drug allergy is indicated.

Indexed as

Drug-induced lymphocyte stimulation testEosinophilic esophagitisHeartburnReflux esophagitisSublingual immunotherapy

Identifiers

PMID34786374
PMCPMC8563106
OpenAlexW3210981588

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.