Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy

Gastroesophageal reflux disease (GORD) is an often debilitating condition characterised by retrograde flow of content from stomach into the oesophagus, where the low pH of the stomach acid irritates the mucosa of the oesophagus. The most dominant symptoms in GORD are pyrosis, regurgitation, and dysp...

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Main Author: Jacob Juel
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2017/8905372
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author Jacob Juel
author_facet Jacob Juel
author_sort Jacob Juel
collection DOAJ
description Gastroesophageal reflux disease (GORD) is an often debilitating condition characterised by retrograde flow of content from stomach into the oesophagus, where the low pH of the stomach acid irritates the mucosa of the oesophagus. The most dominant symptoms in GORD are pyrosis, regurgitation, and dysphagia. Sublingual immunotherapy (SLIT) was first described in 1986. Following this description, the use has greatly increased in the treatment of allergic rhinitis, as an alternative to subcutaneously administered immunotherapy. Side effects are commonly of oropharyngeal and gastrointestinal nature, for example, swelling, itching, irritation, ulceration of the oropharynx and nausea, abdominal pain, vomiting, and diarrhoea. More serious side effects are dominated by respiratory tract and systemic manifestations. A 30-year-old male experienced refractory, relentless, and debilitation GORD subsequent to administration of sublingual immunotherapy for house dust mite in allergic rhinitis. The patient had to stop the SLIT after two weeks of administration due to GORD. The cessation resulted in rapid resolution of symptoms.
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spelling doaj-art-1cca888fe11a41e690a38f6d5624e9152025-08-20T03:54:51ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/89053728905372Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual ImmunotherapyJacob Juel0Department of Plastic Surgery, Aalborg University Hospital, Aalborg, DenmarkGastroesophageal reflux disease (GORD) is an often debilitating condition characterised by retrograde flow of content from stomach into the oesophagus, where the low pH of the stomach acid irritates the mucosa of the oesophagus. The most dominant symptoms in GORD are pyrosis, regurgitation, and dysphagia. Sublingual immunotherapy (SLIT) was first described in 1986. Following this description, the use has greatly increased in the treatment of allergic rhinitis, as an alternative to subcutaneously administered immunotherapy. Side effects are commonly of oropharyngeal and gastrointestinal nature, for example, swelling, itching, irritation, ulceration of the oropharynx and nausea, abdominal pain, vomiting, and diarrhoea. More serious side effects are dominated by respiratory tract and systemic manifestations. A 30-year-old male experienced refractory, relentless, and debilitation GORD subsequent to administration of sublingual immunotherapy for house dust mite in allergic rhinitis. The patient had to stop the SLIT after two weeks of administration due to GORD. The cessation resulted in rapid resolution of symptoms.http://dx.doi.org/10.1155/2017/8905372
spellingShingle Jacob Juel
Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
Case Reports in Gastrointestinal Medicine
title Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
title_full Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
title_fullStr Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
title_full_unstemmed Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
title_short Debut of Gastroesophageal Reflux Concomitant with Administration of Sublingual Immunotherapy
title_sort debut of gastroesophageal reflux concomitant with administration of sublingual immunotherapy
url http://dx.doi.org/10.1155/2017/8905372
work_keys_str_mv AT jacobjuel debutofgastroesophagealrefluxconcomitantwithadministrationofsublingualimmunotherapy