The clinical threshold in wheat-dependent, exercise-induced anaphylaxis seems to be lowered in patients on wheat free diet, whereas the opposite is seen in patients on regular wheat intake. Therefore, a recommendation of wheat consumption, if considered safe to the patient based on case-history and challenge results, could be advised.
Keywords: Anaphylaxis; Avoidance; Exercise challenge; Gluten, oral food challenge; Specific IgE; Specific IgG; Wheat dependent exercise induced anaphylaxis.