Food-dependent exercise-induced anaphylaxis-sequence of causative factors might be reversed
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Department of Internal Medicine, Geriatrics and Allergology, Medical University of Wroclaw, Wroclaw, Poland.
Department of Clinical Research, Medical School of Legnica, Legnica, Poland
Department of Physiology, Medical University of Wroclaw, Wrocław, Poland
Ann Agric Environ Med. 2010;17(2):315–317
We present a case of a 27-years-old female who experienced several episodes of food-dependent exercise-induced anaphylaxis (FDEIA). Besides two typical episodes of FDEIA triggered by a postprandial physical exercise, she also experienced atypical episodes in which the sequence of the causative stimuli was clearly reversed-clinical symptoms which appeared after a prolonged exercise, followed by ingestion of the sensitizing food. This unusual clinical picture entitled us to extend the routine recommendations- avoidance of the coincidence of food allergens intake and exercise accordingly to her history.
Aihara M, Miyazawa M, Osuna H, Tsubaki K, Ikebe T, Aihara Y, Ikezawa Z: Food-dependent exercise-induced anaphylaxis: influence of concurrent aspirin administration on skin testing and provocation. Br J Dermatol 2002, 146, 466–472.
Barg W, Wolanczyk-Medrala A, Obojski A, Wytrychowski K, Panaszek B, Medrala W: Food-dependent exercise-induced anaphylaxis: possible impact of increased basophil histamine releasability in hyperosmolar conditions. J Investig Allergol Clin Immunol 2008, 18, 312–315.
Bito T, Kanda E, Tanaka M, Fukunaga A, Horikawa T, Nishigori C: Cows milk-dependent exercise-induced anaphylaxis under the condition of a premenstrual or ovulatory phase following skin sensitization. Allergol Int 2008, 57, 437–439.
Fujii H, Kambe N, Fujisawa A, Kohno K, Morita E, Miyachi Y: Food-dependent exercise-induced anaphylaxis induced by low dose aspirin therapy. Allergol Int 2008, 57, 97–98.
Harada S, Horikawa T, Ashida M, Kamo T, Nishioka E, Ichihashi M: Aspirin enhances the induction of type I allergic symptoms when combined with food and exercise in patients with food-dependent exercise-induced anaphylaxis. Br J Dermatol 2001, 145, 336–339.
Matsumoto R, Ogawa T, Makino T, Okano M: A clinical study of admitted the review of cases of food-dependent exercise-induced anaphylaxis. Arerugi 2009, 58, 548–553.
Matsuo H, Morimoto K, Akaki T, Kaneko S, Kusatake K, Kuroda T, Niihara H, Hide M, Morita E: Exercise and aspirin increase levels of circulating gliadin peptides in patients with wheat-dependent exerciseinduced anaphylaxis. Clin Exp Allergy 2005, 35, 461–466.
Maulitz RM, Pratt DS, Schocket AL: Exercise-induced anaphylactic reaction to shellfish. J Allergy Clin Immunol 1979, 63, 433–434.
Morimoto K, Sanada S, Hara T, Hide M: Two cases of food-dependent exercise-induced anaphylaxis difficult to evoke symptoms by provocation test. Arerugi 2006, 55, 1433–1436.
Orhan F, Karakas T: Food-dependent exercise-induced anaphylaxis to lentil and anaphylaxis to chickpea in a 17-year-old boy. J Investig Allergol Clin Immunol 2008, 18, 465–468.
Pacharn P, Jirapongsananuruk O, Daengsuwan T, Vichyanond P, Visitsunthorn N: Wheat-dependent, exercise-induced anaphylaxis in Thai children: a report of 5 cases. Asian Pac J Allergy Immunol 2009, 27, 115–120.
Porcel S, Sánchez AB, Rodríguez E, Fletes C, Alvarado M, Jiménez S, Hernández J: Food-dependent exercise-induced anaphylaxis to pistachio. J Investig Allergol Clin Immunol 2006, 16, 71–73.
Romano A, Di Fonso M, Giuffreda F, Papa G, Artesani MC, Viola M, Venuti A, Palmieri V, Zeppilli P: Food-dependent exercise-induced anaphylaxis: clinical and laboratory findings in 54 subjects. Int Arch Allergy Immunol 2001, 125, 264–272.
Teo SL, Gerez IF, Ang EY, Shek LP: Food-dependent exercise-induced anaphylaxis – a review of 5 cases. Ann Acad Med Singapore 2009, 38, 905–909.
Wolanczyk-Medrala A, Barg W, Gogolewski G, Panaszek B, Liebhart J, Litwa M, Medrala W: Influence of hyperosmotic conditions on basophil CD203C upregulation in patients with food-dependent exercise induced anaphylaxis. Ann Agric Environ Med 2009, 16, 301–304.