A case of exercise-induced anaphylaxis in an asthmatic patient.
- Author:
Tae Bum KIM
1
;
Sae Hoon KIM
;
Sung Wook SOHN
;
Yoon Seok CHANG
;
Yoon Keun KIM
;
Sang Heon CHO
;
Kyung Up MIN
;
You Young KIM
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Korea. drmin@snu.ac.kr
- Publication Type:Case Report
- Keywords:
exercise;
anaphylaxis;
asthma
- MeSH:
Adult;
Anaphylaxis*;
Angioedema;
Asthma;
Dizziness;
Dyspnea;
Humans;
Hypotension;
Motor Activity;
Respiratory Sounds;
Shock;
Urticaria
- From:Journal of Asthma, Allergy and Clinical Immunology
2003;23(1):84-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 30-year-old man suffering from anaphylactoid attack after exercise was admitted. He had asthma, atopy, and a family history of allergic diseases. He suffered from dyspnea, wheezing, dizziness, angioedema, urticaria after exercise such as climbing. Although many cases of exercise-induced anaphylaxis have been reported, most of them were food-dependent exercise-induced anaphylaxis rather than classic exercise-induced anaphylaxis. We performed exercise provocation test, which resulted in anaphylactoid shock accompanied with hypotension. angioedema, wheezing, dyspnea and a fall of FEV1(Forced expiratory volume in one second). These reactions were related with only exercise but not foods. Because there are few cases of classic exercise-induced anaphylaxis, we report this case in consideration with its clinical importance and fatality. Physicians should be alerted on the many manifestations occuring after physical activities.
