| Food-dependent exercise-induced anaphylaxis induced by low dose aspirin therapy. | |
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MedLine Citation:
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PMID: 18089939 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Food-dependent exercise-induced anaphylaxis (FDEIA) is a distinct form of common food allergy characteristically induced by a combination of causative food ingestion and physical exercise. Recent investigations have documented that aspirin consumption, in place of exercise, also induces allergic symptoms. CASE SUMMARY: A 63-year-old man began low dose aspirin therapy on September 2005. Since January 2006, he had repeated episodes of generalized urticaria and lost consciousness while he was exercising after eating wheat. He was strongly positive for omega-5 gliadin in a cap-system fluorescent enzyme immunoassay. Therefore, a diagnosis of wheat-dependent exercise-induced anaphylaxis was made. DISCUSSION: Patients with aspirin-provoked FDEIA have been reported previously as taking ordinary doses of aspirin for reducing pain, inflammation and fever. However, in our patient, low dose aspirin therapy for reducing cardiovascular risk possibility induced FDEIA. Growing numbers of elderly people take low doses of aspirin for prevention of cerebral or myocardial infarction. Therefore, physicians should remember that aspirin consumption, even at low doses, is a risk factor for FDEIA. |
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Authors:
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Hiroko Fujii; Naotomo Kambe; Akihiro Fujisawa; Kunie Kohno; Eishin Morita; Yoshiki Miyachi |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-03-01 |
Journal Detail:
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Title: Allergology international : official journal of the Japanese Society of Allergology Volume: 57 ISSN: 1323-8930 ISO Abbreviation: Allergol Int Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-26 Completed Date: 2008-08-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9616296 Medline TA: Allergol Int Country: Japan |
Other Details:
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Languages: eng Pagination: 97-8 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anaphylaxis
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chemically induced*,
diagnosis Aspirin / adverse effects*, therapeutic use Exercise* Gliadin / blood Hematoma, Subdural / drug therapy, surgery Humans Immunoglobulin E / blood, immunology Male Middle Aged Radioallergosorbent Test Syncope / chemically induced Urticaria / chemically induced Vertebrobasilar Insufficiency / drug therapy Wheat Hypersensitivity / etiology* |
| Chemical | |
Reg. No./Substance:
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37341-29-0/Immunoglobulin E; 50-78-2/Aspirin; 9007-90-3/Gliadin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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