title: Exercise-induced anaphylaxis in a cardiopathic patient on chronic aspirin therapy.
abstract: We report the case of a 73 year old man on chronic aspirin therapy who went in anaphylactic shock during his daily farm chores following a meal rich in wheat products. The serum specific IgE assay (ImmunoCAP) showed strong positive specific IgE responses to ω-5 gliadin. A two-year period avoiding wheat meals 3 hours prior to exercise, resulted in a lack of further anaphylaxis; this results aided us in making the diagnosis.
authors.affiliation: UOC di Broncopneumologia - Servizio di Allergologia, Ospedale "Carlo Urbani", Jesi (Ancona) Italy. corrado.micucci@tin.it.
authors.forename: C
authors.initials: C
authors.lastname: Micucci
authors.affiliation: UOC di Broncopneumologia - Ospedale "Carlo Urbani", Jesi (Ancona) Italy. donatellaamico@libero.it.
authors.forename: D
authors.initials: D
authors.lastname: Amico
authors.affiliation: UOC di Broncopneumologia - Ospedale "Carlo Urbani", Jesi (Ancona) Italy.
authors.forename: M
authors.initials: M
authors.lastname: Braconi
authors.affiliation: UOC di Broncopneumologia - Ospedale "Carlo Urbani", Jesi (Ancona) Italy.
authors.forename: C
authors.initials: C
authors.lastname: Pareo
authors.affiliation: UOC di Broncopneumologia - Ospedale "Carlo Urbani", Jesi (Ancona) Italy.
authors.forename: M E
authors.initials: ME
authors.lastname: Cimarelli
authors.affiliation: UOC di Broncopneumologia - Ospedale "Carlo Urbani", Jesi (Ancona) Italy.
authors.forename: S
authors.initials: S
authors.lastname: Subiaco
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000209:etiology*; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects*; D015444:Exercise; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008297:Male; D021182:Wheat Hypersensitivity / Q000150:complications*
chemical_list: D007073:Immunoglobulin E; D001241:Aspirin