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[Exercise-induced anaphylaxis after apple intake].

L Sánchez-Morillas1, A Iglesias Cadarso, L Zapatero Remón

  • 1Clínica Universitaria Puerta de Hierro de Madrid. España. lsanchezmorillas@hotmail.com

Allergologia Et Immunopathologia
|August 2, 2003
PubMed
Summary
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Two patients experienced anaphylaxis triggered by exercise after consuming apples. This highlights the importance of identifying specific food triggers in food-dependent exercise-induced anaphylaxis.

Area of Science:

  • Allergy and Immunology
  • Clinical Medicine

Background:

  • Exercise-induced anaphylaxis (EIA) is often linked to food ingestion, termed food-dependent EIA.
  • Identifying specific food triggers can be challenging in diagnosing EIA.

Observation:

  • Two cases of apple-dependent exercise-induced anaphylaxis are presented.
  • Diagnostic methods included skin prick tests, specific IgE determination (CAP-Pharmacia System), and exercise challenge tests after apple consumption.

Findings:

  • Prick-by-prick testing with fresh apple was positive in both patients.
  • Specific IgE levels for apple were elevated.
  • Exercise challenge tests successfully reproduced anaphylactic episodes under specific conditions.

Implications:

Related Experiment Videos

  • This case series underscores the significance of apple as a potential trigger for food-dependent EIA.
  • Accurate diagnosis requires a comprehensive approach including specific food challenges.
  • Awareness of less common food triggers is crucial for effective patient management.