Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1984 Jun;37(6):601–606. doi: 10.1136/jcp.37.6.601

Increased numbers of IgE containing cells in gastric and duodenal biopsies. An expression of food allergy secondary to chronic inflammation?

J P van Spreeuwel, J Lindeman, J van Maanen, C J Meyer
PMCID: PMC498830  PMID: 6373835

Abstract

Gastric and duodenal biopsies from 2543 patients with abdominal complaints were sent to the Department of Pathology of the Stichting Samenwerking Delftse Ziekenhuizen in 1980 and 1981 and screened for plasma cells containing IgE using an indirect immunoperoxidase technique. Increased numbers of IgE containing cells were found in 2.6% of the patients. These patients all suffered from a variety of chronic non-specific inflammatory disorders of the upper gastrointestinal tract. No specific clinical, endoscopical, or histological picture could be found. The results suggest that increased numbers of plasma cells containing IgE in biopsies from the upper gastrointestinal tract are an expression of IgE mediated type I allergy presumably to food constituents as a secondary complication of chronic non-specific gastric and duodenal inflammation in these patients.

Full text

PDF
604

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. André C., Moulinier B., Lambert R., Bugnon B. Letter: Gastritis varioliformis, allergy, and disodium cromoglycate. Lancet. 1976 May 1;1(7966):964–965. doi: 10.1016/s0140-6736(76)92744-6. [DOI] [PubMed] [Google Scholar]
  2. Brandtzaeg P., Baklien K., Fausa O., Hoel P. S. Immunohistochemical characterization of local immunoglobulin formation in ulcerative colitis. Gastroenterology. 1974 Jun;66(6):1123–1136. [PubMed] [Google Scholar]
  3. Brown W. R., Borthistle B. K., Chen S. T. Immunoglobulin E (IgE) and IgE-containing cells in human gastrointestinal fluids and tissues. Clin Exp Immunol. 1975 May;20(2):227–237. [PMC free article] [PubMed] [Google Scholar]
  4. Dekker W., Walinga H., Balk T., Tytgat G. N. Chronische, varioliforme erosies van de maag; een onderzoek naar de etiologie. Ned Tijdschr Geneeskd. 1983 Feb 5;127(6):240–244. [PubMed] [Google Scholar]
  5. FeltkampVroom T. M., Stallman P. J., Aalberse R. C., Reerink-Brongers E. E. Immunofluorescence studies on renal tissue, tonsils, adenoids, nasal polyps, and skin of atopic and nonatopic patients, with special reference to IgE. Clin Immunol Immunopathol. 1975 Sep;4(3):392–404. doi: 10.1016/0090-1229(75)90008-2. [DOI] [PubMed] [Google Scholar]
  6. Halpin T. C., Byrne W. J., Ament M. E. Colitis, persistent diarrhea, and soy protein intolerance. J Pediatr. 1977 Sep;91(3):404–407. doi: 10.1016/s0022-3476(77)81308-5. [DOI] [PubMed] [Google Scholar]
  7. Kreuning J., Bosman F. T., Kuiper G., Wal A. M., Lindeman J. Gastric and duodenal mucosa in 'healthy' individuals. An endoscopic and histopathological study of 50 volunteers. J Clin Pathol. 1978 Jan;31(1):69–77. doi: 10.1136/jcp.31.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Mayrhofer G., Bazin H., Gowans J. L. Nature of cells binding anti-IgE in rats immunized with Nippostrongylus brasiliensis: IgE synthesis in regional nodes and concentration in mucosal mast cells. Eur J Immunol. 1976 Aug;6(8):537–545. doi: 10.1002/eji.1830060803. [DOI] [PubMed] [Google Scholar]
  9. Rosekrans P. C., Meijer C. J., Cornelisse C. J., van der Wal A. M., Lindeman J. Use of morphometry and immunohistochemistry of small intestinal biopsy specimens in the diagnosis of food allergy. J Clin Pathol. 1980 Feb;33(2):125–130. doi: 10.1136/jcp.33.2.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Rosekrans P. C., Meijer C. J., van der Wal A. M., Lindeman J. Allergic proctitis, a clinical and immunopathological entity. Gut. 1980 Dec;21(12):1017–1023. doi: 10.1136/gut.21.12.1017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Van Spreeuwel J. P., Lindeman J., Van der Wal A., Weterman I., Kreuning J., Meijer C. Morphological and immunohistochemical findings in upper gastrointestinal biopsies of patients with Crohn's disease of the ileum and colon. J Clin Pathol. 1982 Sep;35(9):934–940. doi: 10.1136/jcp.35.9.934. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES