Food-dependent exercise-induced anaphylaxis

Curr Opin Allergy Clin Immunol. 2019 Jun;19(3):224-228. doi: 10.1097/ACI.0000000000000531.

Abstract

Purpose of review: The following article provides an overview of food-dependent exercise-induced anaphylaxis (FD-EIAn). The review focuses on the epidemiology, pathophysiology, and clinical findings of FD-EIAn and details current practice in terms of the investigation, management, and treatment options available.

Recent findings: The management of FD-EIAn has not changed significantly over the last few years and still requires careful investigation by an experienced clinician to ensure that the correct diagnosis is made and appropriate treatment is given. Although new therapies such as synthetic prostaglandin E1 analogs and IgE monoclonal antibodies have been trialed as treatment options for FD-EIAn, the mainstay of treatment remains the graded reintroduction to exercise in a supervised setting.

Summary: FD-EIAn is a rare but serious condition that can have a significant impact on patients' lives. This review aims to discuss new relevant research into this field to help guide clinicians in managing this condition.

Publication types

  • Review

MeSH terms

  • Allergens / chemistry
  • Alprostadil / therapeutic use
  • Anaphylaxis / epidemiology
  • Anaphylaxis / physiopathology*
  • Anaphylaxis / therapy
  • Antibodies / therapeutic use
  • Exercise
  • Food Hypersensitivity / diagnosis*
  • Food Hypersensitivity / epidemiology
  • Food Hypersensitivity / physiopathology*
  • Food Hypersensitivity / therapy
  • Humans
  • Immunoglobulin E / immunology
  • Wheat Hypersensitivity / diagnosis

Substances

  • Allergens
  • Antibodies
  • Immunoglobulin E
  • Alprostadil