Self-reported food intolerance and mucosal reactivity after rectal food protein challenge in patients with rheumatoid arthritis

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Fältnamn	Indikatorer	Metadata
000		03381naa a2200409 4500
001		oai:DiVA.org:uu-110294
003		SwePub
008		091109s2010 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1102942 URI
024	7	a https://doi.org/10.3109/030097409033796302 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Lidén, Maria,d 1954-u Uppsala universitet,Medicin,Reumatologi4 aut0 (Swepub:uu)malid597
245	1 0	a Self-reported food intolerance and mucosal reactivity after rectal food protein challenge in patients with rheumatoid arthritis
264		c 2010-02-09
264	1	b Informa Healthcare,c 2010
338		a print2 rdacarrier
520		a Objectives: A dietary link to rheumatoid arthritis (RA) has been suspected and an influence on arthritic symptoms by different diets has been reported. Our primary aim was to record the self-experienced adverse food reactions in patients with RA. A secondary aim was to relate self-experienced adverse reactions to dairy produce and wheat to the local mucosal reactivity observed after rectal challenge with cow's milk protein (CM) and wheat gluten. Methods: A questionnaire about self-experienced adverse reaction to food was sent to 347 RA patients. Rectal challenge with CM and gluten was performed in 27 of these patients and in healthy controls (n = 18). After a 15-h challenge the mucosal production of nitric oxide (NO) and the mucosal release of myeloperoxidase (MPO) and eosinophil cationic protein (ECP) were measured by using the mucosal patch technique. Results: Twenty-seven per cent of the RA patients reported food intolerance (FI) to various foods, and in particular to CM, meat, and wheat gluten. Strong mucosal reactivity to CM was observed in 11% of the patients. Moderately increased mucosal reactivity to CM and gluten was found in 22% and 33%, respectively, of the patients. No relationship was found between self-experienced adverse reactions to CM or gluten and mucosal reactivity to these proteins. Conclusions: Perceived FI is reported frequently by RA patients, with a prevalence similar to that reported previously in the general population. Mucosal reactivity to CM and gluten is seen in a minor fraction of RA patients and is not related to the frequently perceived intolerance to these proteins.
653		a Rheumatoid arthritis
653		a Cow's milk protein
653		a Gluten
653		a Nitric oxide
653		a Myeoloperoxidase
653		a Food Intolerance
653		a MEDICINE
653		a MEDICIN
700	1	a Kristjánsson, Gudjónu Uppsala universitet,Medicin,Gastroenterology4 aut0 (Swepub:uu)gudjkris
700	1	a Valtysdóttir, Sigriduru Uppsala universitet,Medicin,Reumatologi4 aut0 (Swepub:uu)sigvalty
700	1	a Venge, Peru Uppsala universitet,Klinisk kemi4 aut0 (Swepub:uu)pervenge
700	1	a Hällgren, Rogeru Uppsala universitet,Medicin,Reumatologi4 aut0 (Swepub:uu)rogehall
710	2	a Uppsala universitetb Medicin4 org
773	0	t Scandinavian Journal of Rheumatologyd : Informa Healthcareg 39:4, s. 292-298q 39:4<292-298x 0300-9742x 1502-7732
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-110294
856	4 8	u https://doi.org/10.3109/03009740903379630

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Av författaren/redakt...: Lidén, Maria, 19 ...; Kristjánsson, Gu ...; Valtysdóttir, Si ...; Venge, Per; Hällgren, Roger

Artiklar i publikationen: Scandinavian Jou ...

Av lärosätet: Uppsala universitet

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