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Eosinophilic esophagitis due to red yeast rice (Monacoline K) in a dietary supplement for hypercholesterolemia

Tijdschriftbijdrage - Tijdschriftartikel

We present a case of eosinophilic esophagitis (EoE) with positive skin-prick testing for type I allergy to red yeast rice (RYR, Artechol®). RYR is an over-the-counter supplement for hypercholesterolemia, since years famous in Asian countries and now also more and more popular in Western countries. The clinical relevance of IgE-mediated inflammation was proven by a rapid clearance of EoE-symptoms upon discontinuation of RYR. The role of skin-prick testing and allergy testing in general in EoE is controversial, but was of high importance in our patient. It demonstrates that in cases of a clear-cut allergy history, together with positive skin-prick (IgE) testing, a broad elimination diet can thus be avoided.

Tijdschrift: Journal of Clinical Gastroenterology
ISSN: 0192-0790
Issue: 2
Volume: 14
Pagina's: 407-409
Aantal pagina's: 3
Jaar van publicatie:2021
Trefwoorden:Eosinophilic esophagitis, Hypercholesterolemia, Monacoline K, Red yeast rice, Skin-prick, Algemene en interne geneeskunde