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KMID : 0854720060260030242
Korean Journal of Asthma, Allergy and Clinical Immunology
2006 Volume.26 No. 3 p.242 ~ p.245
A Case Report of Food-dependent Exercise-induced Anaphylaxis to Apples
Yang Min-Suk

Lee So-Hee
Kim Kyung-Mook
Kwon Hyouk-Soo
Kim Deok-In
Park Chang-Han
Sohn Seong-Wook
Park Heung-Woo
Chang Yoon-Seok
Kim Sun-Sin
Cho Sang-Heon
Min Kyung-Up
Kim You-Young
Abstract
We here report a case with apple-dependent exercise-induced anaphylaxis, the first case in Korea. A 23-year-old Korean female patient presented with urticaria, angioedema, and dizziness during mountain climbing. A detailed clinical history revealed that she ingested apple 30 minutes before mountain climbing. Prick to prick skin test to apple showed a positive result. The exercise provocation test or the oral challenge test alone showed a negative result. However, the exercise provocation test after apple ingestion resulted in severe anaphylactic reaction. She was diagnosed as having food-dependent exercise-induced anaphylaxis to apples, and was instructed to avoid exercise after apple ingestion in the future.
KEYWORD
Anaphylaxis, Food dependent Exercise induced Anaphylaxis, Apple
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