title: Food-dependent exercise-induced anaphylaxis-sequence of causative factors might be reversed.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Geriatrics and Allergology, Medical University of Wroclaw, Wroclaw, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Wolańczyk-Medrala
authors.forename: Wojciech
authors.initials: W
authors.lastname: Barg
authors.forename: Anna
authors.initials: A
authors.lastname: Radlińska
authors.forename: Bernard
authors.initials: B
authors.lastname: Panaszek
authors.forename: Wojciech
authors.initials: W
authors.lastname: Medrala
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000209:etiology* / Q000276:immunology / Q000517:prevention & control; D015444:Exercise; D005260:Female; D005512:Food Hypersensitivity / Q000209:etiology* / Q000276:immunology / Q000517:prevention & control; D005638:Fruit / Q000276:immunology*; D006801:Humans