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Increased Allergic Rhinitis Prevalence and Symptom Severity in Patients With Irritable Bowel Syndrome.
María Cuende-Estévez1, Hind Hussein1, Fedrica Pia1
1Department of Chronic Diseases and Metabolism (CHROMETA), Center for Intestinal Neuroimmune Interactions, Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium.
Patients with irritable bowel syndrome (IBS) have a significantly higher risk of allergic rhinitis (AR). This combination negatively impacts quality of life and may involve cross-reactivity between airborne and food allergens.
Area of Science:
- Immunology
- Gastroenterology
- Allergology
Background:
- Irritable bowel syndrome (IBS) is linked to increased risks of airway and allergic diseases.
- The connection between allergic rhinitis (AR) and IBS is not well understood.
- Investigating airway issues in IBS patients and potential antigen cross-reactivity is crucial.
Purpose of the Study:
- To understand airway complications in IBS patients.
- To evaluate airborne and dietary antigen cross-reactivity in patients with both IBS and AR.
Main Methods:
- 287 participants (54 healthy, 232 IBS patients) completed questionnaires.
- Assessed upper airway symptom severity and AR prevalence.
- Rome IV criteria used for IBS diagnosis.
Main Results:
- IBS patients had a threefold higher risk of AR compared to controls.
- IBS patients with AR reported poorer sleep, mood, and satisfaction.
- 47% of IBS+AR patients experienced IBS symptoms due to food mimicking aeroallergens.
Conclusions:
- IBS patients have a higher incidence of AR, worsening quality of life.
- Evidence suggests cross-reactivity between aeroallergens and food antigens in IBS+AR patients.
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