Food-dependent exercise-induced anaphylaxis (FDEIA) appears during or soon after exercise if it is preceded by ingestion of foods, whereas food allergens and exercise are independently tolerated.1 We describe a 17-year-old adolescent referred to us for 2 episodes of anaphylaxis that occurred while jogging on the beach 60 minutes after eating. Because of generalized urticaria, abdominal pain, vomiting, wheezing, dyspnea, and hypotension, he required hospitalization and emergency department treatment with epinephrine, intravenous antihistamine, and corticosteroids. His clinical history disclosed that on both occasions he had had milk for breakfast and a ham-cheese-tomato sandwich and peaches 1 hour before running.
Combined cetirizine-montelukast preventive treatment for food-dependent exercise-induced anaphylaxis
Peroni, Diego;PIACENTINI, Giorgio;PIAZZA, Michele;CAMETTI, Elisa;BONER, Attilio
2010-01-01
Abstract
Food-dependent exercise-induced anaphylaxis (FDEIA) appears during or soon after exercise if it is preceded by ingestion of foods, whereas food allergens and exercise are independently tolerated.1 We describe a 17-year-old adolescent referred to us for 2 episodes of anaphylaxis that occurred while jogging on the beach 60 minutes after eating. Because of generalized urticaria, abdominal pain, vomiting, wheezing, dyspnea, and hypotension, he required hospitalization and emergency department treatment with epinephrine, intravenous antihistamine, and corticosteroids. His clinical history disclosed that on both occasions he had had milk for breakfast and a ham-cheese-tomato sandwich and peaches 1 hour before running.
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