[Case of interstitial cystitis accompanied by food allergy].
A case is a 62 years old woman who consulted her family physicion with pollakiuria and sharp pain at the time of urinary bladder distention. Since anti-H1-antagonist but not antibiotics was partially effective against the symptoms and some specific food ingestion appeared to increase the bladder pain, she was referred to our hospital. Treatment with spulatast tosilate and elimination of food products that revealed the presence of specific IgE antibodies and positive skin reactiont resulted favorable clinical response. Cystoscopic examination showed reduction in bladder capacity, mucosal injection and vascularization, besides pinpoint submucosal hemorrage and linear ulcer by hydrodistension. The diagnosis of interstitial cystitis was established by those evidences and histological findings. The patient got apparent remission after the bladder hydrodistension and is now in steady state with an addition of suplatast tosilate, a Th2 cytokine inhibitor, on the treatment mentioned above. Interstitial cystitis is a very rare disease which is characterized by cystitis-symptoms with normal urinary finding and non-effectiveness of antibiotics. The pathogenesis of the disease is unclear but considered as allergic inflammation. We report a case of interstitial cystitis accompanied by food allergy.
Ogawa
Hirohisa
H
Dept. of Clinical Research, National Kochi Hospital. ogawah@clin.med.tokushima-u.ac.jp
Nakamura
Yoichi
Y
Tokinaga
Kenji
K
Sakakura
Naoki
N
Yamashita
Motoyuki
M
D018926:Anti-Allergic Agents / Q000627:therapeutic use; D001190:Arylsulfonates / Q000627:therapeutic use; D017332:Cetirizine / Q000627:therapeutic use; D018856:Cystitis, Interstitial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D003558:Cystoscopy; D004359:Drug Therapy, Combination; D005260:Female; D005512:Food Hypersensitivity / Q000150:complications* / Q000628:therapy; D039563:Histamine H1 Antagonists, Non-Sedating / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D013452:Sulfonium Compounds / Q000627:therapeutic use
D018926:Anti-Allergic Agents; D001190:Arylsulfonates; D039563:Histamine H1 Antagonists, Non-Sedating; D013452:Sulfonium Compounds; C073028:suplatast tosilate; D017332:Cetirizine