Abstract
Eight babies with cow's milk protein intolerance and malabsorption, ages ranging from 2 weeks to 6 months, and five adult patients with a history of food allergy were studied. In the jejunal biopsies of the eight children with cow's milk protein intolerance we found partial villous atrophy with an increased number of interepithelial lymphocytes as determined by morphometric analysis. In the five adult patients no morphological changes of the jejunal mucosa were found. However, immunoperoxidase staining revealed a markedly increased number of IgE containing cells in the lamina propria of all jejunal biopsies studied. This proved to be specific for young and adult patients with food allergy. It is concluded that immunohistochemistry of jejunal biopsy specimens is of considerable value in the diagnosis of food allergy.
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- Bleumink E. Food allergy. The chemical nature of the substances eliciting symptoms. World Rev Nutr Diet. 1970;12:505–570. doi: 10.1159/000387595. [DOI] [PubMed] [Google Scholar]
- Bosman F. T., Lindeman J., Kuiper G., van der Wal A., Kreunig J. The influence of fixation on immunoperoxidase staining of plasmacells in paraffin sections of intestinal biopsy specimens. Histochemistry. 1977 Jul 18;53(1):57–62. doi: 10.1007/BF00511210. [DOI] [PubMed] [Google Scholar]
- Brandtzaeg P., Baklien K. Inconclusive immunohistochemistry of human IgE in mucosal pathology. Lancet. 1976 Jun 12;1(7972):1297–1298. doi: 10.1016/s0140-6736(76)91767-0. [DOI] [PubMed] [Google Scholar]
- Carswell F., Ferguson A. Plasma food antibodies during withdrawal and reintroduction of dietary gluten in coeliac disease. Arch Dis Child. 1973 Aug;48(8):583–586. doi: 10.1136/adc.48.8.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dannaeus A., Johansson S. G., Foucard T. Clinical and immunological aspects of food allergy in childhood. II. Development of allergic symptoms and humoral immune response to foods in infants of atopic mothers during the first 24 months of life. Acta Paediatr Scand. 1978 Jul;67(4):497–504. doi: 10.1111/j.1651-2227.1978.tb16360.x. [DOI] [PubMed] [Google Scholar]
- Dannaeus A., Johansson S. G., Foucard T., Ohman S. Clinical and immunological aspects of food allergy in childhood. I. Estimation of IgG, IgA and IgE antibodies to food antigens in children with food allergy and atopic dermatitis. Acta Paediatr Scand. 1977 Jan;66(1):31–37. doi: 10.1111/j.1651-2227.1977.tb07803.x. [DOI] [PubMed] [Google Scholar]
- Eastham E. J., Walker W. A. Adverse effects of milk formula ingestion on the gastrointestinal tract. An update. Gastroenterology. 1979 Feb;76(2):365–374. [PubMed] [Google Scholar]
- GOLDMAN A. S., ANDERSON D. W., Jr, SELLERS W. A., SAPERSTEIN S., KNIKER W. T., HALPERN S. R. MILK ALLERGY. I. ORAL CHALLENGE WITH MILK AND ISOLATED MILK PROTEINS IN ALLERGIC CHILDREN. Pediatrics. 1963 Sep;32:425–443. [PubMed] [Google Scholar]
- Hijmans W., Schuit H. R., Klein F. An immunofluorescence procedure for the detection of intracellular immunoglobulins. Clin Exp Immunol. 1969 Apr;4(4):457–472. [PMC free article] [PubMed] [Google Scholar]
- Jos J., Rey J., Frézal J. Etude immuno-histochimique de la muqueuse intestinale chez l'enfant. I. Les syndromes de malabsorption. Arch Fr Pediatr. 1972 Aug-Sep;29(7):681–698. [PubMed] [Google Scholar]
- Kuitunen P., Visakorpi J. K., Hallman N. Histopathology of duodenal mucosa in malabsorption syndrome induced by cow's milk. Ann Paediatr. 1965;205(1):54–63. [PubMed] [Google Scholar]
- RUBIN C. E., BRANDBORG L. L., PHELPS P. C., TAYLOR H. C., Jr Studies of celiac disease. I. The apparent identical and specific nature of the duodenal and proximal jejunal lesion in celiac disease and idiopathic sprue. Gastroenterology. 1960 Jan;38:28–49. [PubMed] [Google Scholar]
- Savilahti E. Immunochemical study of the malabsorption syndrome with cow's milk intolerance. Gut. 1973 Jun;14(6):491–501. doi: 10.1136/gut.14.6.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shiner M., Ballard J., Smith M. E. The small-intestinal mucosa in cow's milk allergy. Lancet. 1975 Jan 18;1(7899):136–134. doi: 10.1016/s0140-6736(75)91431-2. [DOI] [PubMed] [Google Scholar]
- Sumithran E., Iyngkaran N. Is jejunal biopsy really necessary in cow's milk protein intolerance? Lancet. 1977 Nov 26;2(8048):1122–1123. doi: 10.1016/s0140-6736(77)90559-1. [DOI] [PubMed] [Google Scholar]
- van de Velde C. J., Meyer C. J., Cornellsse C. J., van der Velde E. A., van Putten L. M., Swaveling A. A morphometrical analysis of lymph node responses to tumors of different immunogenicity. Cancer Res. 1978 Mar;38(3):661–667. [PubMed] [Google Scholar]



