Wolańczyk-Medrala Anna, Barg Wojciech, Radlińska Anna, Panaszek Bernard, Medrala Wojciech
Department of Internal Medicine, Geriatrics and Allergology, Medical University of Wroclaw, Wroclaw, Poland.
Ann Agric Environ Med. 2010;17(2):315-7.
We present a case of a 27-years-old female who experienced several episodes of food-dependent exercise-induced anaphylaxis (FDEIA). Besides two typical episodes of FDEIA triggered by a postprandial physical exercise, she also experienced atypical episodes in which the sequence of the causative stimuli was clearly reversed-clinical symptoms which appeared after a prolonged exercise, followed by ingestion of the sensitizing food. This unusual clinical picture entitled us to extend the routine recommendations- avoidance of the coincidence of food allergens intake and exercise accordingly to her history.
我们报告一例27岁女性,她经历了数次食物依赖运动诱发的过敏反应(FDEIA)。除了两例由餐后体育锻炼引发的典型FDEIA发作外,她还经历了非典型发作,即致病刺激的顺序明显颠倒——长时间运动后出现临床症状,随后摄入致敏食物。这种不寻常的临床表现使我们有理由根据她的病史,扩展常规建议——避免食物过敏原摄入与运动同时发生。