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Vol. 125, No. 3, 2001
Issue release date: July 2001
Section title: Original Paper
Int Arch Allergy Immunol 2001;125:264–272
(DOI:10.1159/000053825)

Food-Dependent Exercise-Induced Anaphylaxis: Clinical and Laboratory Findings in 54 Subjects

Romano A. · Di Fonso M. · Giuffreda F. · Papa G. · Artesani M.C. · Viola M. · Venuti A. · Palmieri V. · Zeppilli P.
aDepartment of Internal Medicine and Geriatrics, UCSC-Allergy Unit, Complesso Integrato Columbus and bDepartment of Internal Medicine and Geriatrics, UCSC-Sports Medicine Unit, Rome, and cIRCCS Oasi Maria SS, Troina, Italy

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 8/2/2001

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 3

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA

Abstract

Background: In some subjects, specific foods trigger anaphylaxis when exercise follows ingestion (specific food-dependent exercise-induced anaphylaxis, FDEIAn). Skin test and/or RAST positivity to foods suggest an IgE-mediated pathogenic mechanism. Others suffer from anaphylaxis after all meals followed by exercise, regardless of the food eaten (nonspecific FDEIAn). We sought to identify the culprit foods with a diagnostic protocol. Methods: We collected detailed histories and performed skin prick tests (SPT) with 26 commercial food allergens, prick plus prick tests (P+P) with 15 fresh foods (including 9 assessed with SPT), and RAST for 31 food allergens. Treadmill stress tests were administered after a meal without any positive food (food plus exercise challenge, FEC). Results: Among the 54 patients, 6 could not recall any suspect food. The other 48 suspected a specific food in at least one episode. The most frequent were tomatoes, cereals and peanuts. Fifty-two subjects were positive to at least one food (22 to more than 20), whereas 2 showed no positive results. All suspect foods were positive. SPT, P+P and RAST displayed different degrees of sensitivity. Each test disclosed some positivities not discovered by others. Two subjects reacted to FEC. Overall, 48 patients probably had specific FDEIAn and the other 6 nonspecific FDEIAn. Conclusions: It is useful to test both in vivo and in vitro an extensive panel of foods. Avoidance of foods associated with skin test and/or RAST positivity for at least 4 h before exercise has prevented further episodes in all our patients with specific FDEIAn.


  

Author Contacts

Correspondence to: Dr. Antonino Romano
Unità di Allergologia, Complesso Integrato Columbus
Via G. Moscati, 31, I–00168 Rome (Italy)
Tel. +39 06 3503782, Fax +39 06 3503653
E-Mail columbus.allerg@linet.it

  

Article Information

Received: Received: September 18, 2000
Accepted after revision: January 3, 2001
Number of Print Pages : 9
Number of Figures : 3, Number of Tables : 3, Number of References : 33

  

Publication Details

International Archives of Allergy and Immunology
Founded 1950

Vol. 125, No. 3, Year 2001 (Cover Date: July 2001)

Journal Editor: D. Kraft, Vienna
ISSN: 1018–2438 (print), 1423–0097 (Online)

For additional information:http://www.karger.com/journals/iaa


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 8/2/2001

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 3

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


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