Ann Dermatol.  2009 Nov;21(4):447-449. 10.5021/ad.2009.21.4.447.

A Case of Wheat-Dependent Exercise-Induced Anaphylaxis

Affiliations
  • 1Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea. dermlee@yahoo.co.kr

Abstract

Foods are recognized as a common cause of urticaria; however, the role of food is considered to be more important in acute not chronic urticaria. Wheat is a basic ingredient found in many common foods. Food allergy to wheat is primarily described in children in the form of atopic dermatitis. It is rare in adults; where it is mainly reported in exercise-induced anaphylaxis. We report a case of wheat dependent exercise-induced anaphylaxis that occurred in a 54-year-old Korean woman.

Keyword

Food allergy; Wheat dependent exercise induced anaphylaxis

MeSH Terms

Anaphylaxis
Child
Dermatitis, Atopic
Female
Food Hypersensitivity
Humans
Middle Aged
Triticum
Urticaria

Figure

  • Fig. 1 (A) Twenty minutes after consumption of wheat meal products and subsequent walking, the patient developed itching, generalized erythematous wheals, and mild dyspnea. (B) Erythematous wheals on the face and neck. (C) Erythematous wheals on the arm.


Cited by  4 articles

Overview of anaphylaxis in Korea: diagnosis and management
Gwang Cheon Jang, Yoon-Seok Chang, Sun Hee Choi, Woo-Jung Song, Soo-Young Lee, Hae-Sim Park, Hye-Ryun Kang, Yeong-Min Ye, Hyun-Jung Jin, Mi Yong Shin, Soo-Jin Lee, Hye One Kim, Jihyun Kim, Jae-Woo Jung, Hee-Bom Moon, Youngmin Ahn
Allergy Asthma Respir Dis. 2013;1(3):181-196.    doi: 10.4168/aard.2013.1.3.181.

Food-dependent exercise-induced anaphylaxis in Korean children: a single-center retrospective case study
Eun Lee, Min-Ju Kim, Song-I Yang, Jinho Yu, Soo-Jong Hong
Allergy Asthma Respir Dis. 2015;3(3):194-199.    doi: 10.4168/aard.2015.3.3.194.

Wheat-Induced Anaphylaxis in Korean Adults: A Report of 6 Cases
Seung-Eun Lee, Suh-Young Lee, Eun-Jung Jo, Mi-Young Kim, Sae-Hoon Kim, Yoon-Seok Chang
Clin Nutr Res. 2013;2(1):76-79.    doi: 10.7762/cnr.2013.2.1.76.

Food-dependent exercise-induced anaphylaxis in Korea: a multicenter retrospective case study
Jae Hyoung Im, Hea Yoon Kwon, Young-Min Ye, Hae-Sim Park, Tae-Bum Kim, Gil-Soon Choi, Joo-Hee Kim, Gwang Cheon Jang, Mi Kyung Kim, Gyu-Young Hur, Young-Il Koh, Seong-Wook Sohn, Cheol-Woo Kim
Allergy Asthma Respir Dis. 2013;1(3):203-210.    doi: 10.4168/aard.2013.1.3.203.


Reference

1. Moneret-Vautrin DA, Kanny G, Guerin L, Flabbee J, Lemerdy P. The multifood allergy syndrome. Allerg Immunol (Paris). 2000. 32:12–15.
2. Palosuo K. Update on wheat hypersensitivity. Curr Opin Allergy Clin Immunol. 2003. 3:205–209.
Article
3. Jarvinen KM, Turpeinen M, Suomalainen H. Concurrent cereal allergy in children with cow's milk allergy manifested with atopic dermatitis. Clin Exp Allergy. 2003. 33:1060–1066.
Article
4. Sehgal VN, Rege VL. An interrogative study of 158 urticaria patients. Ann Allergy. 1973. 31:279–283.
5. Harris A, Twarog FJ, Geha RS. Chronic urticaria in childhood: natural course and etiology. Ann Allergy. 1983. 51:161–165.
6. Kanny G, Chenuel B, Moneret-Vautrin DA. Chronic urticaria to wheat. Allergy. 2001. 56:356–357.
Article
7. Bock SA, Sampson HA, Atkins FM, Zeiger RS, Lehrer S, Sachs M, et al. Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual. J Allergy Clin Immunol. 1988. 82:986–997.
Article
8. Metcalfe DD. Food allergens. Clin Rev Allergy. 1985. 3:331–349.
Article
9. Anderson JA. The establishment of common language concerning adverse reactions to foods and food additives. J Allergy Clin Immunol. 1986. 78:140–144.
Article
10. Metcalfe DD, Sampson HA, Simon RA. Food allergy: adverse reactions to foods and food additives. 1997. 2nd ed. Cambridge: Blackwell Science;211–219.
11. Du Toit G. Food-dependent exercise-induced anaphylaxis in childhood. Pediatr Allergy Immunol. 2007. 18:455–463.
Article
12. Gall H, Steinert M, Peter RU. Exercise-induced anaphylaxis to wheat flour. Allergy. 2000. 55:1096–1097.
Article
13. Romano A, Di Fonso M, Giuffreda F, Papa G, Artesani MC, Viola M, et al. Food-dependent exercise-induced anaphylaxis: clinical and laboratory findings in 54 subjects. Int Arch Allergy Immunol. 2001. 125:264–272.
Article
14. Battais F, Mothes T, Moneret-Vautrin DA, Pineau F, Kanny G, Popineau Y, et al. Identification of IgE-binding epitopes on gliadins for patients with food allergy to wheat. Allergy. 2005. 60:815–821.
Article
15. Chong SU, Worm M, Zuberbier T. Role of adverse reactions to food in urticaria and exercise-induced anaphylaxis. Int Arch Allergy Immunol. 2002. 129:19–26.
Article
Full Text Links
  • AD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr