Association between allergic diseases and mucosal healing in ulcerative colitis

Abstract Allergic diseases and ulcerative colitis (UC) share pathophysiological similarities. This study aimed to investigate the unclear association between allergic diseases and mucosal healing (MH), an important factor in the prognosis of UC. We studied 289 Japanese patients with UC. Information...

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Main Authors: Yasunori Yamamoto, Shinya Furukawa, Osamu Yoshida, Teruki Miyake, Kana Shiraishi, Yu Hashimoto, Kazuhiro Tange, Shogo Kitahata, Tomoyuki Ninomiya, Sen Yagi, Hanayama Masakazu, Seiyuu Suzuki, Naozumi Shibata, Hidehiro Murakami, Katsuhisa Ohashi, Hideomi Tomida, Eiji Takeshita, Yoshio Ikeda, Yoichi Hiasa
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85916-0
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author Yasunori Yamamoto
Shinya Furukawa
Osamu Yoshida
Teruki Miyake
Kana Shiraishi
Yu Hashimoto
Kazuhiro Tange
Shogo Kitahata
Tomoyuki Ninomiya
Sen Yagi
Hanayama Masakazu
Seiyuu Suzuki
Naozumi Shibata
Hidehiro Murakami
Katsuhisa Ohashi
Hideomi Tomida
Eiji Takeshita
Yoshio Ikeda
Yoichi Hiasa
author_facet Yasunori Yamamoto
Shinya Furukawa
Osamu Yoshida
Teruki Miyake
Kana Shiraishi
Yu Hashimoto
Kazuhiro Tange
Shogo Kitahata
Tomoyuki Ninomiya
Sen Yagi
Hanayama Masakazu
Seiyuu Suzuki
Naozumi Shibata
Hidehiro Murakami
Katsuhisa Ohashi
Hideomi Tomida
Eiji Takeshita
Yoshio Ikeda
Yoichi Hiasa
author_sort Yasunori Yamamoto
collection DOAJ
description Abstract Allergic diseases and ulcerative colitis (UC) share pathophysiological similarities. This study aimed to investigate the unclear association between allergic diseases and mucosal healing (MH), an important factor in the prognosis of UC. We studied 289 Japanese patients with UC. Information on allergic diseases (bronchial asthma, atopic dermatitis, pollen allergy, food allergy, and drug allergy), as diagnosed by physicians, was collected through self-reported questionnaires. The definition of MH was Mayo Endoscopic Score 0. The association between each allergic disease and its multimorbidity with MH was evaluated using multivariate logistic regression analyses. Pollen allergy was the most common allergic condition (36.3%). Pollen allergy and food allergy were independently associated with MH (pollen allergy adjusted OR: 1.82 [95% CI: 1.01–3.26]; food allergy adjusted OR: 3.47 [95% CI: 1.26–9.68]). The rates of MH for 0 and 3 or more allergic diseases were 24.6% and 4.2%, respectively. After adjustment for confounders, 3 or more allergic diseases were independently associated with MH (adjusted OR: 8.13 [95% CI: 2.17–34.04], p for trend = 0.020). This study demonstrates a significant positive association between specific allergic diseases (pollen and food allergies) and MH in UC patients, with a stronger association in cases of allergic multimorbidity.
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spelling doaj-art-ead58331b31e478d870dc69c186152e02025-01-12T12:15:42ZengNature PortfolioScientific Reports2045-23222025-01-011511710.1038/s41598-025-85916-0Association between allergic diseases and mucosal healing in ulcerative colitisYasunori Yamamoto0Shinya Furukawa1Osamu Yoshida2Teruki Miyake3Kana Shiraishi4Yu Hashimoto5Kazuhiro Tange6Shogo Kitahata7Tomoyuki Ninomiya8Sen Yagi9Hanayama Masakazu10Seiyuu Suzuki11Naozumi Shibata12Hidehiro Murakami13Katsuhisa Ohashi14Hideomi Tomida15Eiji Takeshita16Yoshio Ikeda17Yoichi Hiasa18Endoscopy Center, Ehime University HospitalHealth Services Center, Ehime UniversityDepartment of Gastroenterology and Metabology, Ehime University Graduate School of MedicineDepartment of Gastroenterology and Metabology, Ehime University Graduate School of MedicineDepartment of Gastroenterology and Metabology, Ehime University Graduate School of MedicineDepartment of Gastroenterology and Metabology, Ehime University Graduate School of MedicineDepartment of Inflammatory Bowel Diseases and Therapeutics, Ehime University Graduate School of MedicineDepartment of Gastroenterology, Ehime Prefectural Central HospitalDepartment of Gastroenterology, Ehime Prefectural Central HospitalDepartment of Internal Medicine, Saiseikai Imabari HospitalDepartment of Gastroenterology, Matsuyama Shimin HospitalDepartment of Gastroenterology, Sumitomo Besshi HospitalDepartment of Gastroenterology, Ehime Prefectural Niihama HospitalDepartment of Internal Medicine, Saiseikai Matsuyama HospitalOHASHI Clinic Participate in Gastro-Enterology and Ano-ProctologyEndoscopy Center, Ehime University HospitalDepartment of Inflammatory Bowel Diseases and Therapeutics, Ehime University Graduate School of MedicineEndoscopy Center, Ehime University HospitalDepartment of Gastroenterology and Metabology, Ehime University Graduate School of MedicineAbstract Allergic diseases and ulcerative colitis (UC) share pathophysiological similarities. This study aimed to investigate the unclear association between allergic diseases and mucosal healing (MH), an important factor in the prognosis of UC. We studied 289 Japanese patients with UC. Information on allergic diseases (bronchial asthma, atopic dermatitis, pollen allergy, food allergy, and drug allergy), as diagnosed by physicians, was collected through self-reported questionnaires. The definition of MH was Mayo Endoscopic Score 0. The association between each allergic disease and its multimorbidity with MH was evaluated using multivariate logistic regression analyses. Pollen allergy was the most common allergic condition (36.3%). Pollen allergy and food allergy were independently associated with MH (pollen allergy adjusted OR: 1.82 [95% CI: 1.01–3.26]; food allergy adjusted OR: 3.47 [95% CI: 1.26–9.68]). The rates of MH for 0 and 3 or more allergic diseases were 24.6% and 4.2%, respectively. After adjustment for confounders, 3 or more allergic diseases were independently associated with MH (adjusted OR: 8.13 [95% CI: 2.17–34.04], p for trend = 0.020). This study demonstrates a significant positive association between specific allergic diseases (pollen and food allergies) and MH in UC patients, with a stronger association in cases of allergic multimorbidity.https://doi.org/10.1038/s41598-025-85916-0Allergic diseasesUlcerative colitisInflammatory bowel diseaseAtopic dermatitisFood allergy
spellingShingle Yasunori Yamamoto
Shinya Furukawa
Osamu Yoshida
Teruki Miyake
Kana Shiraishi
Yu Hashimoto
Kazuhiro Tange
Shogo Kitahata
Tomoyuki Ninomiya
Sen Yagi
Hanayama Masakazu
Seiyuu Suzuki
Naozumi Shibata
Hidehiro Murakami
Katsuhisa Ohashi
Hideomi Tomida
Eiji Takeshita
Yoshio Ikeda
Yoichi Hiasa
Association between allergic diseases and mucosal healing in ulcerative colitis
Scientific Reports
Allergic diseases
Ulcerative colitis
Inflammatory bowel disease
Atopic dermatitis
Food allergy
title Association between allergic diseases and mucosal healing in ulcerative colitis
title_full Association between allergic diseases and mucosal healing in ulcerative colitis
title_fullStr Association between allergic diseases and mucosal healing in ulcerative colitis
title_full_unstemmed Association between allergic diseases and mucosal healing in ulcerative colitis
title_short Association between allergic diseases and mucosal healing in ulcerative colitis
title_sort association between allergic diseases and mucosal healing in ulcerative colitis
topic Allergic diseases
Ulcerative colitis
Inflammatory bowel disease
Atopic dermatitis
Food allergy
url https://doi.org/10.1038/s41598-025-85916-0
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