A Case Report of Food-Dependent Exercise-Induced Anaphylaxis in a Patient who was Sensitive to Pork.
10.7581/pard.2012.22.1.116
- Author:
Sung Joon PANG
1
;
Sol Ji NO
;
Dong Wook KIM
;
Sang Min LEE
;
Eun Joeng LEE
;
Cheol Hong KIM
;
Hyun Hee LEE
;
Kyung Eun LEE
;
Jung Yeon HONG
;
Kyu Earn KIM
Author Information
1. Department of Pediatrics, Myongi Hospital, Kwandong University College of Medicine, Goyang, Korea. hhleemd@kwandong.ac.kr
- Publication Type:Case Report
- Keywords:
Food allergy;
Sensitization to pork;
Food-dependent exercise-induced anaphylaxis (FDEIA)
- MeSH:
Adolescent;
Allergens;
Anaphylaxis;
Cough;
Dancing;
Dizziness;
Dyspnea;
Eating;
Female;
Food Hypersensitivity;
Headache;
Humans;
Immunoblotting;
Immunoglobulin E;
Immunoglobulins;
Korea;
Meat;
Motor Activity;
Peak Expiratory Flow Rate;
Singing;
Skin;
Urticaria;
Vomiting
- From:Pediatric Allergy and Respiratory Disease
2012;22(1):116-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Food-dependent exercise-induced anaphylaxis (FDEIA) is a specific variant of exercise-induced anaphylaxis that requires both vigorous physical activity and the ingestion of specific foods. In particular, it is rare occurrence for FDEIA to be associated with meat in Korea. A 15-year-old female had generalized urticaria, dyspnea, severe cough, headache, dizziness, and vomiting after singing and dancing for 1 hour and after ingesting grilled pork. Skin prick tests showed a strong positive reaction to pork, whereas the results of an oral food challenge and exercise provocation tests were negative. However, the exercise provocation test after pork ingestion showed a positive reaction manifested by generalized urticaria, cough, mild dyspnea, and a 23% decreased peak expiratory flow rate. Three allergens to pork (67 kDa, 90 kDa, and 15 kDa) reacted with the patient's serum on immunoglobulin E immunoblotting. We report a case of pork-dependent exercise-induced anaphylaxis in a patient who was sensitive to pork.
