Introduction: Food-dependent exercise-induced anaphylaxis (FDEIA) is an uncommon and under-recognised syndrome that clinicians may not consider in a patient presenting with anaphylaxis.
Clinical Picture: We describe here 5 patients aged 9 to 20 years old who presented at a local tertiary hospital over a 2-year period from August 2006 to July 2008. All presented with urticaria, 4 were hypotensive, 2 had angioedema and another 2 had dyspnoea. The symptoms occurred between 15 and 150 minutes (mean, 81) after exercising and consuming various food. All had consumed shellfish. All patients were admitted with the diagnosis of anaphylaxis of undefined aetiology. Diagnosis of FDEIA was only reached upon referral to an allergist.
Treatment And Outcome: Patients were treated with standard medicines for anaphylaxis including adrenaline, antihistamines, steroids and fluid flushes. Symptoms resolved in 2 to 3 days with no further episodes. At discharge, patients were prescribed epinephrine auto-injectors and given written anaphylaxis management plans.
Conclusions: More public awareness and strategies to ensure accurate diagnosis and management of this condition are necessary.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Impact of Co-Factors in Primary Hazelnut Allergy.
Clin Exp Allergy
December 2024
Department of Dermatology and Allergy Centre, Odense Research Center for Anaphylaxis (ORCA), Odense University Hospital, Odense C, Denmark.
A case report of food-dependent exercise-induced anaphylaxis (FDEIA) treated with omalizumab.
Front Allergy
October 2024
Allergy and Immunology Division, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Food-dependent exercise-induced anaphylaxis (FDEIA) is a rare and complex clinical condition in which allergic reactions are triggered by specific foods combined with physical activity, even though the food allergen and exercise are tolerated individually. Wheat is the most common culprit food leading to wheat dependent exercise induced anaphylaxis (WDEIA). Management of FDEIA is challenging due to the unpredictability of attacks and the lack of approved prophylactic medications.
View Article and Find Full Text PDFGetting in Shape: Updates in Exercise Anaphylaxis.
Curr Allergy Asthma Rep
November 2024
Department of Pediatrics, Division of Pulmonology, Allergy & Immunology, University of Tennessee Health Science Center, LeBonheur Children's Hospital, 51 N. Dunlap Street, Suite 400, Memphis, TN, 38105, USA.
Article Synopsis
- Exercise-induced anaphylaxis (EIA) is challenging to diagnose due to the influence of co-factors and the absence of consistent testing methods.
- Recent research indicates that EIA may not be simply categorized into food-independent or food-dependent types, highlighting the complexity of its triggers, including food, medications, and alcohol.
- Clinicians can enhance patient care by recognizing how these co-factors contribute to EIA symptoms, allowing for more personalized treatment strategies and improved patient quality of life.
Running into trouble with soy: A case report and review of our shopping carts.
J Allergy Clin Immunol Glob
November 2024
Department of Immunology, Beaumont Hospital, Dublin, Ireland.
Article Synopsis
- Soy-dependent exercise-induced anaphylaxis is a potentially increasing allergy that often goes undiagnosed.
- The rise in soy's popularity in Western diets means more people are unwittingly consuming it, especially in processed foods.
- Many of these processed foods target fitness enthusiasts, making soy a hidden allergen for this group.
Food-dependent exercise-induced anaphylaxis (FDEIA) suspected triggered by lipid transfer protein in a Chinese child: A case report.
Asia Pac Allergy
August 2024
Department of Allergy, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Article Synopsis
- Lipid transfer protein (LTP) is a key protein linked to food-induced anaphylaxis, particularly in Mediterranean European countries, but this was the first reported case in China.
- A 12-year-old boy in China suffered from recurrent anaphylaxis triggered by intense exercise and showed high immunoglobulin E levels sensitized to various foods and pollens, especially mugwort and multiple grains and fruits.
- After receiving guidance on avoiding certain foods before exercise and carrying an epinephrine auto-injector, the boy experienced no further episodes over a 6-month follow-up, highlighting the need for awareness of LTP in similar cases.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!