| Food-dependent exercise-induced anaphylaxis--update and current data. | |
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MedLine Citation:
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PMID: 16711535 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Exercise-induced anaphylaxis (EIA) is defined as the onset of allergic symptoms during, or immediately after, exercise, the clinical signs being various degrees of urticaria, angioedema, respiratory and gastrointestinal signs and even anaphylactic shock. Food-dependent exercise-induced anaphylaxis (FDEIA) introduces food in the syndrome and is revealed by a chronological sequence in which food intake, followed by exercise, induces symptoms after a varying period. When the food intake and the exercise are independent of each other, there are no symptoms. FDEIA is not very frequent. Identifying the culprit food allergen depends on the patient's eating habits. Crustaceans and wheat flour are the two commonest but others foods can be implicated. The patho-physiology of FDEIA has not been clearly established but it appears to result from degranulation of mast cells. As with food allergy, FDEIA diagnosis is based on interview, skin and biological tests and challenge. For the clinical signs of allergy, antihistamines, corticosteroids and epinephrine may be administered. Prophylaxis aims to prevent a recurrence; the patient should be given an emergency kit to deal with any recurrent episode. After the food allergen has been identified, it should be avoided for at least 4 to 5 hours before any exercise. |
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Authors:
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E Beaudouin; J M Renaudin; M Morisset; F Codreanu; G Kanny; D A Moneret-Vautrin |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: European annals of allergy and clinical immunology Volume: 38 ISSN: 1764-1489 ISO Abbreviation: Eur Ann Allergy Clin Immunol Publication Date: 2006 Feb |
Date Detail:
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Created Date: 2006-05-22 Completed Date: 2006-07-31 Revised Date: 2008-02-26 |
Medline Journal Info:
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Nlm Unique ID: 101466614 Medline TA: Eur Ann Allergy Clin Immunol Country: France |
Other Details:
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Languages: eng Pagination: 45-51 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Clinical Immunology and Allergology, University Hospital, Hôpital Central, Nancy, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Allergens / adverse effects Anaphylaxis / diagnosis, drug therapy, etiology*, physiopathology Animals Anti-Allergic Agents / therapeutic use Anti-Inflammatory Agents, Non-Steroidal / adverse effects Asthma, Exercise-Induced / etiology* Diagnosis, Differential Drug Hypersensitivity / complications Exercise* Female Flushing / etiology Follow-Up Studies Food Hypersensitivity / complications* Humans Hypersensitivity, Immediate / complications Male Meat / adverse effects Prospective Studies Pruritus / etiology Seafood / adverse effects Urticaria / etiology Vegetables / adverse effects Wheat Hypersensitivity / complications |
| Chemical | |
Reg. No./Substance:
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0/Allergens; 0/Anti-Allergic Agents; 0/Anti-Inflammatory Agents, Non-Steroidal |
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