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Helicobacter pylori infection in patients with selective immunoglobulin E deficiency

World Journal of Gastroenterology 2015年第1期21卷 240-245页

作者： Eli Magen Menachem Schlesinger Itzhak Ben-Zion Daniel Vardy Leumit Health Services Ashdod 77456Israel Allergy and Clinical Immunology Unit Barzilai University Medical CenterAshkelon 78278Israel Ben-Gurion University of Negev Beer-Sheva 8410501Israel

AIM: To investigate the prevalence and clinical characteristics of Helicobacter pylori(***)-infected dyspeptic patients with selective immunoglobulin E deficiency(IgE d).METHODS: All individuals who underwent serum totalimmunoglobulin E(Ig E) measurement at the Leumit Healthcare Services(Israel) in 2012 were identified in an electronic database search(n = 18487).From these,selected case group subjects were ≥ 12 years of age and had serum total Ig E dyspeptic diseases,diagnosed no more than 5 years before serum total Ig E testing,were identified and retrieved from the electronic database using specific International Classification of Diseases diagnostic *** of C13-urea breath tests were used to identify subjects infected with *** variables between case and control subjects were analyzed using Fisher's exact tests,whereas continuous variables were analyzed using χ2 ***: dyspepsia was present in 27.2%(43/158) of case subjects and 22.7%(718/3160) of *** these,significantly more case subjects(32/43,74.4%) than controls(223/718,31.1%) were positive for ***(P < 0.01).Esophagogastroduodenoscopy was performed in 19 case and 94 control subjects,revealing that gastritis was more prevalent in IgE d case subjects than in controls(57.9% vs 29.8%,P < 0.05).Furthermore,a significantly greater proportion of case subjects presented with peptic duodenal ulcers(63.2% vs 15.9%,P < 0.01).Histopathologic examination showed marked chronic inflammation,lymphoid follicle formation and prominent germinal centers,with polymorphonuclear cell infiltration of gastric glands,that was similar in case and control biopsy ***,Ig Ed case subjects that underwent esophagogastroduodenoscopy were more likely to exhibit treatment-refractory *** infections that require seco

关键词： Selective IgE deficiency Helicobacter pylori dyspe

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