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Food-dependent exercise-induced anaphylaxis

Published online by Cambridge University Press:  21 May 2015

Michael Y. Woo
Affiliation:
Division of Emergency Medicine, University of Ottawa, Ottawa, Ont
A. Adam Cwinn*
Affiliation:
Division of Emergency Medicine, University of Ottawa, Ottawa, Ont
Garth Dickinson
Affiliation:
Division of Emergency Medicine, University of Ottawa, Ottawa, Ont
William H. Yang
Affiliation:
Allergy and Asthma Research Centre, Department of Medicine, University of Ottawa
*
Division of Emergency Medicine, Ottawa Hospital — General Campus, 501 Smyth Rd., Ottawa ON K1H 8L6; 613 737–8000

Abstract

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Food-dependent exercise-induced anaphylaxis (FDEIA) is a specific variant of exercise-induced anaphylaxis that requires both vigorous physical activity and the ingestion of specific foods within the preceding several hours. When patients present to the emergency department (ED) with allergic reactions, careful history regarding these 2 factors is required to establish the correct diagnosis. Correct diagnosis of FDEIA will allow patients to take control of their lifestyles and avert repeated events and ED visits. Two cases of FDEIA are presented, and the diagnosis, pathophysiology and therapy of food-dependent exercise-induced anaphylaxis are reviewed.

Type
Case Report • Observations
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

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