PMID- 22311847 OWN - NLM STAT- MEDLINE DCOM- 20120518 LR - 20160511 IS - 2042-6984 (Electronic) IS - 2042-6976 (Linking) VI - 2 IP - 1 DP - 2012 Jan-Feb TI - Does food intolerance play a role in recurrent respiratory papillomatosis? PG - 85-8 LID - 10.1002/alr.20094 [doi] AB - BACKGROUND: The purpose of this study is to evaluate the potential role of food intolerances in the management of recurrent respiratory papillomatosis (RRP). METHODS: This is a retrospective case review of 4 pediatric patients with RRP. All of the patients, cared for by the primary author between 2005 and 2010, were managed using microdebrider resection, intralesional injection of cidofovir, and required multiple surgeries. Skin prick test (SPT) and/or radioallergosorbent test (RAST) were obtained for 2 patients. Oral food challenge was utilized in all 4 patients. RESULTS: Standard SPT and RAST did not identify any immunoglobulin E (IgE)-based allergens. A detailed medical history followed by an oral food challenge was successful at identifying food intolerances in all 4 patients. When specific food elimination was implemented in these patients' treatments in addition to microdebrider resection and cidofovir injection, statistically significant long-term remissions were achieved. CONCLUSION: Food intolerance and its impact on RRP and immune dysfunction deserve further investigation and may benefit some patients with RRP. CI - Copyright (c) 2011 American Rhinologic Society-American Academy of Otolaryngic Allergy, LLC. FAU - Patel, Nalin J AU - Patel NJ AD - Tampa Ear Nose and Throat Associates, Tampa, FL 33613, USA. pedsent@gmail.com FAU - Jenzarli, Ali AU - Jenzarli A LA - eng PT - Case Reports PT - Journal Article DEP - 20110915 PL - United States TA - Int Forum Allergy Rhinol JT - International forum of allergy & rhinology JID - 101550261 RN - Recurrent respiratory papillomatosis SB - IM MH - Adolescent MH - Child MH - Food Hypersensitivity/complications/*diet therapy MH - Humans MH - Papillomavirus Infections/*diet therapy/etiology MH - Respiratory Tract Infections/*diet therapy/etiology MH - Retrospective Studies MH - Treatment Outcome EDAT- 2012/02/09 06:00 MHDA- 2012/05/19 06:00 CRDT- 2012/02/08 06:00 PHST- 2010/07/15 00:00 [received] PHST- 2011/07/04 00:00 [revised] PHST- 2011/08/02 00:00 [accepted] PHST- 2012/02/08 06:00 [entrez] PHST- 2012/02/09 06:00 [pubmed] PHST- 2012/05/19 06:00 [medline] AID - 10.1002/alr.20094 [doi] PST - ppublish SO - Int Forum Allergy Rhinol. 2012 Jan-Feb;2(1):85-8. doi: 10.1002/alr.20094. Epub 2011 Sep 15.