Exercise-induced anaphylaxis

Immunol Allergy Clin North Am. 2015 May;35(2):261-75. doi: 10.1016/j.iac.2015.01.005. Epub 2015 Feb 28.

Abstract

Exercise-induced anaphylaxis is an uncommon disorder in which anaphylaxis occurs in response to physical exertion. Food-dependent exercise-induced anaphylaxis is a disorder with similar symptoms, although symptoms develop only if exercise takes place within a few hours of eating and, in most cases, only if a specific food is eaten. Management includes education about safe conditions for exercise, the importance of ceasing exercise immediately if symptoms develop, appropriate use of epinephrine, and, for patients with food-dependent exercise-induced anaphylaxis, avoidance of the culprit food for at least 4 hours before exercise.

Keywords: Cholinergic urticaria; Cromolyn sodium; Exercise-induced anaphylaxis; Food-dependent exercise-induced anaphylaxis; Omega-5-gliadin.

Publication types

  • Review

MeSH terms

  • Anaphylaxis / diagnosis*
  • Anaphylaxis / epidemiology
  • Anaphylaxis / etiology*
  • Anaphylaxis / mortality
  • Anaphylaxis / prevention & control
  • Anaphylaxis / therapy
  • Diagnosis, Differential
  • Disease Management
  • Exercise*
  • Food / adverse effects
  • Humans
  • Prognosis
  • Risk Factors