A CASE OF FOOD-DEPENDENT EXERCISE-INDUCED ANAPHYLAXIS

DOI 6 Citations
  • Watanabe Takashi
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Sakamoto Yuji
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Tomonaga Hidemi
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Inuyama Masahito
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Sasayama Hatsuyo
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Hara Kouhei
    The Second Department of Internal Medicine, Nagasaki University School of Medicine
  • Imamura Yukio
    Nagasaki Memorial Hospital
  • Asai Sadahiro
    Sasebo General Hospital

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Other Title
  • 食餌依存性運動誘発アナフィラキシー(Food-Dependent Exercise-Induced Anaphylaxis)の1例 : 本邦報告24症例との比較を含めて

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Abstract

A 15-year-old man with food-dependent exercise-induced anaphylaxis is reported. The patient had begun to run 4 hours after he had lunched on fried shrimps. When running about 2000 m, he suffered from general cutaneous erythema with itching, urticaria, angioedema of face and dyspnea. He had experienced the similar episodes associated with postprandial exercise before. Skin test and IgE-RAST were positive for shrimp. Exercise challenge test after having 20 g boiled shrimp was conducted, and the elevation of plasma histamine level was recognised. 25 cases with food-dependent exercised-induced anaphylaxis have reported in Japan. 13 of 25 cases were related with wheat, and 10 cases were related with shrimp. 14 of 25 cases had experiensed the similar episodes. Exercise as part of planned health program has virtually mushroomed world-wide. Therefore, the fact that anaphylaxis can be a complication of such exercise must be recognised if appropriate prevention and treatment are to be administered.

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