Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors

Anna Radlińska; Krzysztof Gomułka; Anna Zaleska; Wojciech Mędrala

doi:10.5114/ada.2021.108895

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Letter to the Editor

Unusual clinical picture of food-dependent exercise-induced anaphylaxis associated with soybean allergy and a reverse sequence of causative factors

Anna Radlińska

¹

,

Krzysztof Gomułka

¹

,

Anna Zaleska

¹

,

Wojciech Mędrala

¹

Department of Internal Medicine, Pneumonology and Allergology, Wroclaw Medical University, Wroclaw, Poland

Adv Dermatol Allergol 2021; XXXVIII (4): 703-705

DOI: https://doi.org/10.5114/ada.2021.108895

Online publish date: 2021/09/24

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AMA

Radlińska A, Gomułka K, Zaleska A, Mędrala W. Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2021;38(4):517-519. doi:10.5114/ada.2021.108895.

APA

Radlińska, A., Gomułka, K., Zaleska, A.,  & Mędrala, W. (2021). Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 38(4), 517-519. https://doi.org/10.5114/ada.2021.108895

Chicago

Radlińska, Anna, Krzysztof Gomułka, Anna Zaleska,  and Wojciech Mędrala. 2021. "Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 38 (4): 517-519. doi:10.5114/ada.2021.108895.

Harvard

Radlińska, A., Gomułka, K., Zaleska, A.,  and Mędrala, W. (2021). Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 38(4), pp.517-519. https://doi.org/10.5114/ada.2021.108895

MLA

Radlińska, Anna et al. "Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 38, no. 4, 2021, pp. 517-519. doi:10.5114/ada.2021.108895.

Vancouver

Radlińska A, Gomułka K, Zaleska A, Mędrala W. Unusual clinical picture of food-dependent
exercise-induced anaphylaxis associated with soybean
allergy and a reverse sequence of causative factors. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2021;38(4):517-519. doi:10.5114/ada.2021.108895.

Food-dependent, exercise-induced anaphylaxis (FDEIA) is a distinct form of food allergy associated with anaphylaxis, in which clinical symptoms are elicited only when two factors coexist – intake of sensitizing food with subsequent physical exertion. It was first described by Maulitz et al. in 1979 [1]. The pathomechanism of FDEIA remains to be the subject of research, especially the relevance of physical exertion in the elicitation of IgE-mediated systemic allergic reaction [2]. Most patients experience their symptoms after postprandial exercise (the typical sequence) [3]. Our team was the first who presented the case of FDEIA with atypical episodes when anaphylaxis occurred after exercise, followed by ingestion of the sensitizing allergen [4].

Unusual clinical picture of food-dependent exercise-induced anaphylaxis associated with soybean allergy and a reverse sequence of causative factors

Anna Radlińska 1 , Krzysztof Gomułka 1 , Anna Zaleska 1 , Wojciech Mędrala 1

Anna Radlińska

¹

,

Krzysztof Gomułka

¹

,

Anna Zaleska

¹

,

Wojciech Mędrala

¹