title: Exercise-induced anaphylaxis related to specific foods.
abstract: We describe the case, documented by challenge results, of a 16-year-old girl with exercise-induced anaphylaxis associated with eating pizza and a cheese sandwich. Patients in whom a specific coprecipitating food has been identified should avoid it for at least 12 hours before exercise. All patients should be instructed to avoid eating 6 to 8 hours before exercise, discontinue exercise at the first sign of symptoms, and exercise only with a companion prepared to administer epinephrine.
authors.affiliation: Department of Medicine, National Jewish Center for Immunology and Respiratory Medicine.
authors.forename: S
authors.initials: S
authors.lastname: Tilles
authors.forename: A
authors.initials: A
authors.lastname: Schocket
authors.forename: H
authors.initials: H
authors.lastname: Milgrom
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004435:Eating; D015444:Exercise; D005260:Female; D006801:Humans; D013997:Time Factors