title: Exercise-induced anaphylaxis: improvement after removal of amalgam in dental caries.
abstract: We present a case of exercise-induced anaphylaxis with improvement following the removal of dental amalgam. Although her symptoms were unresponsive to various kinds of therapy until removal of the amalgam, her symptoms related to exercise improved remarkably after the removal. The increase in plasma histamine levels for exercise provocation test also improved. This suggests that sensitivity to metals might cause exercise-induced asthma in some patients.
authors.affiliation: Department of Allergy, National Children's Hospital, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Katsunuma
authors.forename: Y
authors.initials: Y
authors.lastname: Iikura
authors.forename: T
authors.initials: T
authors.lastname: Nagakura
authors.forename: H
authors.initials: H
authors.lastname: Saitoh
authors.forename: K
authors.initials: K
authors.lastname: Akimoto
authors.forename: A
authors.initials: A
authors.lastname: Akasawa
authors.forename: S
authors.initials: S
authors.lastname: Kindaichi
mesh_terms: D000707:Anaphylaxis / Q000209:etiology* / Q000517:prevention & control; D001250:Asthma, Exercise-Induced / Q000139:chemically induced; D002648:Child; D003723:Dental Amalgam / Q000009:adverse effects*; D003872:Dermatitis / Q000276:immunology; D004342:Drug Hypersensitivity / Q000150:complications*; D015444:Exercise; D005260:Female; D006632:Histamine / Q000097:blood; D006801:Humans; D008670:Metals / Q000276:immunology; D014581:Urticaria / Q000276:immunology
chemical_list: D008670:Metals; D003723:Dental Amalgam; D006632:Histamine