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Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease

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Gluten sensitivity in Meniere's disease.

Federica Di Berardino¹, Antonio Cesarani

¹Audiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. federica.diberardino@unimi.it

The Laryngoscope

|January 19, 2012

Summary

Many Meniere

Area of Science:

Immunology
Otolaryngology
Gastroenterology

Background:

Wheat allergy is common in Meniere's disease (MD) patients.
Wheat gluten is implicated in celiac disease, IgE hypersensitivity, and gluten sensitivity.
The role of wheat proteins in MD pathogenesis is under investigation.

Purpose of the Study:

To investigate the prevalence of gliadin prick test reactivity in Meniere's disease patients.
To assess the association between wheat sensitivity and Meniere's disease.

Main Methods:

Prospective case-control study.
Skin prick testing with gliadin was performed on 58 adult MD patients, 25 healthy controls, and 25 patients with grass pollen rhinoconjunctivitis.
Reactions were assessed at multiple time points (20 minutes, 6, 12, and 24 hours).

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In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears

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Main Results:

56.9% (33/58) of MD patients showed gliadin sensitivity.
Positive prick tests occurred at various intervals, indicating delayed hypersensitivity.
Controls did not show significant gliadin reactivity (implied).

Conclusions:

This study is the first to report gliadin skin test responses in Meniere's disease patients.
A significant portion of MD patients exhibit sensitivity to wheat gliadin.
Further research is required to elucidate the link between wheat protein immune responses and MD symptoms.