Murayama Norihide, Murayama Kikuno
Murayama Pediatrics, 3-2-33 Nagayoshi-Nagahara-Higashi Hirano-ku Osaka-shi, 547-0013 Osaka, Japan.
Data Brief. 2018 May 5;18:1895-1899. doi: 10.1016/j.dib.2018.04.097. eCollection 2018 Jun.
Food-dependent exercise-induced anaphylaxis (FDEIAn) is an anaphylactic reaction induced by physical exercise after ingestion of certain meals. FDEIAn is not very frequent, but recent case reports associated with various meals indicate an upward trend. Here, we report the data of various food specific IgEs and the clinical course of an experience with a patient who exhibited a unique FDEIAn reaction. Various food specific IgEs including staple food were positive with high levels. We could not find out the cause food of FDEIAn. Therefore we started preventive drug treatment. Specifically, only the skin symptoms (urticaria) were prevented by administering anti-histamine (hydroxyzine) daily, and respiratory symptoms (wheezing and distress) were prevented by daily administration of a leukotriene receptor antagonist (montelukast).
食物依赖运动诱发的过敏反应（FDEIAn）是在摄入特定食物后进行体育锻炼所诱发的过敏反应。FDEIAn并不常见，但近期与各种食物相关的病例报告显示有上升趋势。在此，我们报告了一名表现出独特FDEIAn反应患者的各种食物特异性IgE数据及临床病程。包括主食在内的各种食物特异性IgE呈高水平阳性。我们未能找出FDEIAn的致病食物。因此，我们开始进行预防性药物治疗。具体而言，通过每日服用抗组胺药（羟嗪）仅预防了皮肤症状（荨麻疹），通过每日服用白三烯受体拮抗剂（孟鲁司特）预防了呼吸道症状（喘息和呼吸困难）。
