Food-dependent exercise-induced anaphylaxis

Acute Myocardial Infarction following Food-dependent Exercise-induced Anaphylaxis

“…Although various foods, such as shellfish, hazelnuts, celery, and corn, are reported in association with FDEIA, wheat is the most frequent provoking food in Japan (12). The typical symptoms of FDEIA include skin manifestations, such as urticaria and angioedema, respiratory symptoms, abdominal pain, fatigue, and loss of consciousness (21). However, this is the first reported case, to our knowledge, in which acute myocardial infarction followed FDEIA.…”

Does this patient with urticaria/angioedema have anaphylaxis?

“…Non-steroidal anti-inflammatory drugs (NSAIDs) make it worse by increasing the passage of allergen through the gut into the blood stream in an undigested and immunoreactive form. 11 Not all cases of anaphylaxis are easily resolved, and a group of patients with idiopathic anaphylaxis remain. These patients often have repetitive attacks and may require continuous steroids to control them.…”

Analysis of Food Allergen Structures and Development of Foods for Allergic Patients

“…22) FDEIA is a severe (life-threatening) form of allergy in which the ingestion of a specific food before physical exercise induces symptoms of anaphylaxis. Although various foods (including shellfish, celery, hazelnuts, peanuts, soy, peas, and bananas) have been associated with FDEIA, the most frequently reported cause of these reactions appears to be wheat.…”