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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

References

1.Burks, AW, Sampson, HA.Anaphylaxis and food allergy. Clin Rev Allergy Immunol 1999;17:33960.Google Scholar
2.Castells, MC, Horan, RF, Sheffer, AL.Exercise-induced anaphylaxis. Clin Rev Allergy Immunol 1999;17:41324.Google Scholar
3.Volcheck, GW, Li, JTC. Subspecialty clinics: allergic diseases. Exercise-induced urticaria and anaphylaxis. Mayo Clin Proc 1997;72:1407.Google Scholar
4.Maulitz, RM, Pratt, DS, Schocket, AL.Exercise-induced anaphylactic reaction to shellfish. J Allergy Clin Immunol 1979;63: 4334.Google Scholar
5.Silverstein, SR, Frommer, DA, Dobozin, B, Rosen, P.Celery-dependent exercise-induced anaphylaxis. J Emerg Med 1986;4:1959.Google Scholar
6.Kidd, JM, Cohen, SH, Fink, JN.Food-dependent exercise-induced anaphylaxis. J Allergy Clin Immunol 1983;71:40711.Google Scholar
7.Sheffer, AL, Soter, NA, Mcfadden, ER Jr, Austen, KF.Exercise-induced anaphylaxis: a distinct form of physical allergy. J Allergy Clin Immunol 1983;71:3116.Google Scholar
8.Caffarelli, C, Terzi, V, Perrone, F, Cavagni, G.Food related, exercise-induced anaphylaxis. Arch Dis Child 1996;75:1414.Google Scholar
9.Shadick, NA, Liang, MH, Partridge, AJ, Bingham, C, Wright, E, Fossel, AH, et al. The natural history of exercise-induced anaphylaxis: survey results from a 10-year follow-up study. J Allergy Clin Immunol 1999;104:1237.Google Scholar
10.Horan, RF, Sheffer, AL.Food-dependent exercise-induced anaphylaxis. Immunol Allergy Clin North Am 1991;11:75766.Google Scholar
11.Caffarelli, C, Cataldi, R, Giordano, S, Cavagni, G.Anaphylaxis induced by exercise and related to multiple food intake. Allergy Asthma Proc 1997;18(4):2458.Google Scholar
12.Dohi, M, Suko, M, Sugiyama, H, Yamashita, N, Tadokoro, K, Juji, F, et al. Food-dependent, exercise-induced anaphylaxis: a study on 11 Japanese cases. J Allergy Clin Immunol 1991;87(1 Pt 1):3440.Google Scholar
13.Hanakawa, Y, Tohyama, M, Shirakata, Y, Murakami, S, Hashimoto, K.Food-dependent exercise-induced anaphylaxis: a case related to the amount of food allergen ingested. Br J Dermatol 1998;138:898900.Google Scholar
14.Romano, A, Di Fonso, M, Giuffreda, F, Quarantino, D, Papa, G, Palmieri, V, et al. Diagnostic work-up for food dependent exercise-induced anaphylaxis: a case report. Allergy 1995;50:81724.Google Scholar
15.Lin, RY, Curry, A, Pesola, GR, Knight, RJ, Lee, HS, Bakalchuk, L, et al. Improved outcome in patients with acute allergic syndromes who are treated with combined H1 and H2 antagonists. Ann Emerg Med 2000;36(5):4268.Google Scholar