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Diet & Nasal Problems/ Nasal Polyps


Research Menu Page ||| Last update 01/01/2004

Listed in reverse date order:
Zheng 1999Effect of dietary vitamin E supplementation on murine nasal allergy.
Arai 1998Food and food additives hypersensitivity in adult asthmatics. III. Adverse reaction to sulfites in adult asthmatics
Schapowal 1995Phenomenology, pathogenesis, diagnosis and treatment of aspirin-sensitive rhinosinusitis.
Pacor 1989Nasal polyps and food intolerance: is there any correlation
Chudwin 1986Sensitivity to non-acetylated salicylates in a patient with asthma, nasal polyps, and rheumatoid arthritis.
Grzelewska-Rzymowska 1981Asthma with aspirin intolerance. Clinical entity or coincidence of nonspecific bronchial hyperreactivity and aspirin intolerance.
Wuthrich 1981Acetylsalicylic acid and food additive intolerance in urticaria, bronchial asthma and rhinopathy
Spector 1979Aspirin and concomitant idiosyncrasies in adult asthmatic patients.
Neuman 1978   The danger of "yellow dyes" (tartrazine) to allergic subjects.
Abrishami 1977Aspirin intolerance--a review.

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  1. Aspirin intolerance--a review. Abrishami MA, Thomas J, Ann Allergy 1977 Jul;39(1):28-37
    " 1. Association of bronchial asthma, nasal pathology and intolerance to aspirin is a unique syndrome. Aspirin-induced prolongation of bleeding time, and a tendency for diabetes, may exist with it. ... Progression of asthma and nasal polyposis is not prevented by avoidance of aspirin. 4. Salicylates other than aspirin are well tolerated but cross-reactivity with other analgesics, and with tartrazine, may occur. ..."
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  2. Food and food additives hypersensitivity in adult asthmatics. III. Adverse reaction to sulfites in adult asthmatics, Arai Y, Muto H, Sano Y, Ito K, Arerugi 1998 Nov;47(11):1163-7
    "...Twenty adult asthmatic patients, who were non-steroid-dependent and without a suggestive history of sulfite sensitivity, underwent challenge with oral solution of metabisulfite. ... 12 patients reacted to metabisulfite. They demonstrated airway obstruction 5 (41.7%), urticaria 4 (36.7%), skin manifestation 2 (16.7%) and nasal congestion 1 (8.3%). All patients who demonstrated airway obstruction, were sensitive to aspirin..."
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  3. Sensitivity to non-acetylated salicylates in a patient with asthma, nasal polyps, and rheumatoid arthritis. Chudwin DS, Strub M, Golden HE, Frey C, Richmond GW, Luskin AT, Ann Allergy 1986 Aug;57(2):133-4
    " A woman experienced exacerbations of bronchial asthma after taking aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) for rheumatoid arthritis. On oral challenges, she developed an urticarial reaction after tartrazine; urticarial and bronchospastic reactions after salicylsalicylic acid; and urticarial and bronchospastic reactions after choline magnesium trisalicylate. . . . The results of sensitivity studies of our patient indicates that such patients may also be sensitive to non-acetylated salicylates."
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  4. Asthma with aspirin intolerance. Clinical entity or coincidence of nonspecific bronchial hyperreactivity and aspirin intolerance. Grzelewska-Rzymowska I, Rozniecki J, Szmidt M, Kowalski ML, Allergol Immunopathol (Madr) 1981 Nov-Dec;9(6):533-8
    "... Nasal and paranasal polyps were found in 77% of the group examined. The sequence of asthma, polyps and aspirin sensitivity has been analyzed. The authors conclude that aspirin - induced bronchoconstriction is the effect of the coincidence of two different phenomena in one subject, i. e. bronchial hyperreactivity and ASA - intolerance."
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  5. The danger of "yellow dyes" (tartrazine) to allergic subjects. Neuman I, Elian R, Nahum H, Shaked P, Creter D. Clin Allergy. 1978 Jan;8(1):65-8.
    " Oral administration of 50 mg tartrazine to 122 patients with a variety of allergic disorders caused the following reactions: general weakness, heatwaves, palpitations, blurred vision, rhinorrhoea, feeling of suffocation, pruritus and urticaria. There was activation of the fibrinolytic pathway . . ."
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  6. Nasal polyps and food intolerance: is there any correlation, Pacor ML et al., Recenti Progressi in Medicina 1989 Jul-Aug;80(7-8):434-7
    "In this study the Authors have evaluated the relationship between nasal polyposis and food using elimination diet and the double-blind challenge test. Of twenty-two patients examined, 16 (72.8%) completed the study. Six out of 16 subjects [37%] improved when on diet ... Most patients had an alteration of immunological tests involving IgE or circulating immunocomplexes-mediated mechanism."
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  7. Phenomenology, pathogenesis, diagnosis and treatment of aspirin-sensitive rhinosinusitis. Schapowal AG, Simon HU, Schmitz-Schumann M, Acta Otorhinolaryngol Belg 1995;49(3):235-50
    "Aspirin-sensitive rhinosinusitis is a non-allergic, non-infectious perennial eosinophilic rhinitis starting in middle age and rarely seen in children. ... There is an intolerance to aspirin and most other NSAID. An intolerance to tartrazine, food additives, alcohol, narcotics and local anaesthetics can follow. Most aspirin-sensitive patients develop nasal polyps. Untreated, it can lead to asthma. The frequency of aspirin intolerance is 6.18% in patients with perennial rhinitis and 14.68% in patients with nasal polyps. ... "
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  8. Aspirin and concomitant idiosyncrasies in adult asthmatic patients. Spector SL, Wangaard CH, Farr RS, J Allergy Clin Immunol 1979 Dec;64(6 Pt 1):500-6
    " . . . A positive response to oral challenge, defined as a 20% fall in forced expiratory volume in 1 sec(FEV1) from baseline for up to 4 hr, occurred in 44 of 230 patients with ASA, 11 of 277 with tartrazine, 2 of 93 with sodium salicylate, and 2 of 69 with acetaminophen. No one had a positive response to tartrazine, sodium salicylate, or acetaminophen who was not also positive to ASA. The dose of ASA causing a positive response was less than 5 grains in 95% of the patients. ... 96% of those with ASA idiosyncrasy had sinusitis and 71% had nasal polyps. . . "

    Note: each challenge was given separately. Williams 1989 later showed that there could be a possible additive effect when used together.

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  9. Acetylsalicylic acid and food additive intolerance in urticaria, bronchial asthma and rhinopathy, Wuthrich B, Fabro L, Schweiz Med Wochenschr 1981 Sep 26;111(39):1445-50
    "Adverse reactions (urticaria, angio-edema, bronchoconstriction, purpura) to Aspirin (ASS) and food-and-drug additives such as the yellow dye tartrazine and the preservative benzoate are observed all over the world... it is described as intolerance or pseudo-allergy and has been related to an imbalance of prostaglandin synthesis. ... More than two thirds of the intolerant patients were improved by an elimination diet and by the avoidance of "aspirin-like" drugs. More than one third of chronic urticaria patients became symptomfree. ... Moreover, azo-dyes must no longer be used for colouring of drugs."
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  10. Effect of dietary vitamin E supplementation on murine nasal allergy. Zheng K, Adjei AA, Shinjo M, Shinjo S, Todoriki H, Ariizumi M, American Journal of the Medical Sciences 1999 Jul;318(1):49-54
    "Although many studies have reported the effects of dietary vitamin E on the immune response, none so far has assessed its role in nasal allergy. ... [this was an animal study] ... The results indicate that higher doses of vitamin E supplementation may suppress nasal allergic responses."
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