Clinical Case Database / Category: Patient Management
Food induced idiopathic hypertension and oedema
Publication details
Dr Shideh Pouria MB, BS BSc, MRCP (UK), PhD, Dr John R Mansfield MRCS, LRCP, DRCOG
Foundation Years Journal, volume 7, issue 8, p.10 (123Doc Education, London, August 2013)
Abstract
We present a case of food induced intractable idiopathic hypertension and oedema, responding to an exclusion diet followed by provocation of symptoms on reintroducing the excluded foods. The patient was subsequently treated with intradermal, low dose, antigen-specific immunotherapy to the identified foods which allowed controlling both blood pressure and oedema despite withdrawal of all pharmacological therapies. The possible role of food intolerance in the development of hypertension and oedema and its treatment are discussed.
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Authors
Dr Shideh Pouria MB, BS BSc, MRCP (UK), PhD
Medical Director Burghwood Clinic
Visiting Research Fellow Nutritional Sciences Division
School of Medicine
King’s College London
Dr John R Mansfield MRCS, LRCP, DRCOG
General Practitioner at Burghwood Clinic
References
1. Miller, JB. Food Allergy: Provocative Testing and Injection Therapy; Thomas publications 1972.
2. Grant, EC. Food Allergies and Migraine. Lancet 1979: 1(8123):966-9.
3. Rea, W.J. Chemical Sensitivity 1995 Vol 3 CRC Publishing.
Disclaimers
Conflict Of Interest
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Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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