|
KMID : 0613820100200010147
|
|
Journal of Life Science
2010 Volume.20 No. 1 p.147 ~ p.152
|
|
|
The Review of Environment, Food and Exercise on Allergy Anaphylaxis
|
|
Kwak Yi-Sub
Baek Yeong-Ho
Kim Seung-Hyun
Kim Young-Il
Yoo Byung-In
|
|
|
Abstract
|
|
|
|
Exercise-induced anaphylaxis (EIA) is a physical allergy, sometimes severe, triggered by exertion following specific food intake. It was defined for the first time in 1980. EIA is associated with different kinds of exercise. The clinical manifestations progress from itching, erythema and urticaria to some combination of cutaneous angioedema and vascular collapse. Mast cell participation in the pathogenesis of this syndrome has been proved by the findings of an elevated serum histamine level during exhaustive exercise. As predisposing factors of EIA, a specific or even nonspecific sensitivity to food has been reported. Food-dependent exercise-induced anaphylaxis (FDEIA) is a distinct form of food allergy induced by physical exercise. It is typified by the onset of anaphylaxis during exercise which was preceded by the ingestion of the causal food allergens. The diagnosis of FDEIA is heavily dependent on clinical history. Allergy tests may need to be performed using a broad panel of food and food additives. As with food allergies, FDEIA diagnosis is based on interview, biological test and skin test. Prophylaxis aims to prevent a recurrence; the patient should be given an emergency kit to deal with any recurrent episodes. After the food allergen has been identified, it should be avoided for at least 4 to 5 hours before any exercise. Two cases of EIA are presented (EIA to circumstances; FDEIA) in this paper, The diagnosis, pathophysiology and therapy of FDEIA are also reviewed.
|
|
|
KEYWORD
|
|
|
Exercise-induced anaphylaxis (EIA), food-dependent exercise-induced anaphylaxis (FDEIA), allergy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|