Korean J Med.  2005 Sep;69(3):331-335.

A case of food-dependent exercise-induced anaphylaxis developed only in winter

• Kim JH
• Lee JI
• Yang BY
• Ahn SJ
• Park SJ
• Kim S
• Lee GJ

Abstract

Food-dependent exercise-induced anaphylaxis has been recognized a variant of exercise-induced anaphylaxis charaterised by symptoms occuring on exertion after certain meal. We experienced a patient who developed an anaphylaxis induced by wheat flour made food followed by exercise only in cold temperature. A 22-year-old male patient was presented urticaria, angioedema, dyspnea, and loss of consciousness induced by exercise after ingestion of wheat flour made food only in winter. Skin prick test was negative for wheat or bread but positive for mushroom. By contrast, RAST was positive for wheat and negative for mushroom. In order to confirm the diagnosis exercise challenge test was done. The attack developed after ingestion of wheat flour made food and 10 min of outdoor jogging in temperature about 10 degrees C, but not by indoor treadmill test in temperature about 20 degrees C or ingestion of mushroom. This is the first case of food-dependent exercise-induced anaphylaxis developed only in cold temperature in Korea.

Keyword

Anaphylaxis; Exercise; Food; Cold temperature; Wheat

MeSH Terms

Agaricales
Anaphylaxis*
Angioedema
Bread
Cold Temperature
Diagnosis
Dyspnea
Eating
Exercise Test
Flour
Humans
Jogging
Korea
Male
Meals
Skin
Triticum
Unconsciousness
Urticaria
Young Adult