Co-morbidity of Eosinophilic Esophagitis (EoE) and Food Allergy with Ruchi Gupta, MD, MPH
Real Talk: Eosinophilic Diseases
Release Date: 03/22/2022
Bone Mineral Density in Pediatric Eosinophilic Esophagitis
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Anna Henderson, MD, a pediatric gastroenterologist at Northern Light Health in Maine, about bone mineral density in EoE patients. They discuss a paper she co-authored on the subject. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship that exists between listeners...
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Common Nutritional Deficiencies that Affect Those with Non-EoE EGIDs
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Bethany Doerfler, MS, RDN, a clinical research dietician specializing in lifestyle management of digestive diseases at Northwestern Medicine. Ryan and Holly discuss managing nutritional deficiencies in patients with non-EoE EGIDs and a study Bethany worked on. Disclaimer: The information provided in this podcast is...
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Comparing Pediatric and Adult EoE
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. Melanie Ruffner, an Attending Physician with the Division of Allergy and Immunology and the Center for Pediatric Eosinophilic Disorders at Children’s Hospital of Philadelphia. Dr. Ruffner describes her work in clinic and the paper she co-authored about pediatric and adult eosinophilic esophagitis (EoE). She covers...
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Full Circle: An Immunologist’s Unexpected EoE Journey
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. John Accarino, an allergist and immunologist at Massachusetts General Hospital and Mass General for Children, on the topic of immunology support for eosinophilic esophagitis (EoE). Dr. Accarino shares his experiences as a person living with food allergies, allergic asthma, peanut allergy, and eosinophilic...
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The Intersection of Food Allergy and Eosinophilic Esophagitis
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. Wayne Shreffler, Chief of Pediatric Allergy and Immunology and Co-Director of The Food Allergy Center at Massachusetts General Hospital. Dr. Shreffler is also an investigator at The Center for Immunology and Inflammatory Disease and The Food Allergy Science Initiative. His research is focused on understanding how...
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Guidelines for Childhood non-EoE EGIDs
Real Talk: Eosinophilic Diseases
Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children’s Hospital Medical Center. Dr. Collins was a member of the task force that produced the Guidelines on Childhood EGIDs Beyond EoE. In this interview, Dr. Collins discusses the guidelines and how they were...
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Eosinophilic Fasciitis (EF), with Dr. Catherine Sims and Jason Ingraham
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Jason Ingraham, an adult living with eosinophilic fasciitis (EF), and Dr. Catherine Sims, a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans’ Affairs Hospital. They discuss Jason’s experiences living with EF and Dr. Sims’s experience treating EF. They share Jason’s...
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The Evolution of Eosinophilic Gastrointestinal Disorders, with Dr. Dan Atkins
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. Dan Atkins about Children’s Hospital Colorado’s multidisciplinary treatment program for eosinophilic gastrointestinal disorders (EGIDs). In this episode, Ryan and Holly interview their friend, Dr. Dan Atkins. Ryan was a long-time patient of Dr. Atkins and Holly worked as a feeding specialist with Dr....
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Navigating Eosinophilic Esophagitis in College with Kate Goncalves
Real Talk: Eosinophilic Diseases
Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Mary Jo Strobel, APFED’s Executive Director, interview Kate Goncalves about her diagnosis and treatment journey with EoE. In this episode, Ryan and Mary Jo discuss with Kate Goncalves how she lived with her symptoms for years before finally bringing them to the attention of her primary care physician at age 16, and how she was connected with a gastroenterologist and diagnosed with EoE. Kate discusses her transition from pediatric to adult care, and how...
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Treating EoE as an Allergist with Dr. Priya Bansal
Real Talk: Eosinophilic Diseases
Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED’s Health Sciences Advisory Council, interview Dr. Priya Bansal about an allergist’s role in treating EoE. In this episode, Ryan and Holly discuss with Dr. Priya Bansal her career in internal medicine, pediatrics, allergies, and immunology. She emphasizes the importance of patient advocacy and encourages parents to not accept the diagnosis that their child...
info_outlineDr. Ruchi Gupta is a Professor of Pediatrics & Medicine at the Northwestern University Feinberg School of Medicine, Clinical Attending at Ann & Robert H. Lurie Children’s Hospital of Chicago, and Director at the Center for Food Allergy & Asthma Research (CFAAR). She is world-renowned for her research on the epidemiology, economic impact, prevention, and management of allergic conditions, and strives to find answers and shape policies surrounding these conditions in order to reduce the burden and improve health equity. As a mother of a child with food allergies, Dr. Gupta also brings a personal perspective to the discussion.
In this episode, Dr. Gupta shares information about food allergies and EoE, the similarities and differences between them, and some of the available treatment options. She also highlights how treatments may differ for food allergies vs EoE, and the cases in which oral immunotherapy can cause or exacerbate EoE. Tune in to find out more about allergic diseases and their relationship to EoE, and to get advice on managing food allergies and EoE.
Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.
Key Takeaways:
[1:22] Ryan introduces the guest for this episode, Dr. Ruchi Gupta.
[2:05] What is Dr. Gupta’s experience with allergic conditions?
[3:30] How do food allergies and EoE differ?
[4:51] EoE is more challenging to diagnose than food allergies.
[6:25] What is the difference in treatments for EoE and food allergies?
[9:47] Ryan shares some of his experiences with EoE and being on an elimination diet.
[10:37] Eliminating foods and reintroducing them again slowly is a treatment option for EoE, as is oral immunotherapy for some people with food allergies. What is the difference in how these treatments work for EoE vs. food allergies?
[14:14] There is some indication that EoE can develop among some patients who undergo peanut oral immunotherapy (OIT). How common is it?
[15:38] Is this phenomenon something that is specific to peanut OIT, or does it happen with OIT for other allergens as well?
[17:31] Is there enough of a risk of developing EoE from OIT that people are routinely counseled before starting the treatment?
[19:22] What are some of the associations Dr. Gupta discovered in her research?
[22:37] A number of different conditions came up as being associated with EoE. Which of them were surprising to Dr. Gupta?
[23:37] Ryan shares a little about his dietary restrictions and food allergies currently.
[25:38] Medical diets can be pretty effective for people with EoE but sometimes it’s hard for families to adhere to. What are some challenges Dr. Gupta’s family has had with medical diets and what is her advice for people who may be new to that kind of food avoidance?
[28:02] Dr. Gupta speaks to the importance of building a community around you.
[32:54] Dr. Gupta recently published a new book, Food Without Fear. What is the book about, and what was Dr. Gupta’s inspiration for it?
[35:49] What’s next for Dr. Gupta?
[37:24] Dr. Gupta shares some final thoughts for listeners.
Mentioned in This Episode:
American Partnership for Eosinophilic Disorders (APFED)
APFED on YouTube, Twitter, Facebook, Pinterest, Instagram
Food Without Fear, by Dr. Ruchi Gupta
EOS Connections Online Community
This episode is brought to you thanks to the support of our Education Partners Abbott, Bristol Myers Squibb, GlaxoSmithKline, and Mead Johnson Nutrition.
Tweetables:
“EoE is a little bit more challenging to diagnose [than food allergies].” — Dr. Gupta
“The type of EoE that a lot of people developed when they started oral immunotherapy tends to disappear once they stop.” — Dr. Gupta
“How do you standardize treatment options for patients because they all have different pieces that make it really challenging?” — Dr. Gupta
“Medical diets can be pretty effective for people with eosinophilic esophagitis. But sometimes it’s hard for families to adhere to.” — Ryan
“It has allowed them to become better advocates for themselves and that’s not only for their condition but for life.” — Dr. Gupta
“One of the most inspiring ones that I’ve heard more than once is ‘This is one part of me, this does not define me.’” — Mary Jo