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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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Food-dependent exercise-induced anaphylaxis in Japanese elementary school children.

Pediatrics international : official journal of the Japan Pediatric Society·2018
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Japanese Guideline for Food Allergy 2014.

Allergology international : official journal of the Japanese Society of Allergology·2017
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Food-dependent exercise-induced anaphylaxis among junior high school students: a 14-year epidemiological comparison.

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A Swimming-Induced Zebrafish Exercise Apparatus for Versatile Training Approaches
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[Food-dependent exercise-induced anaphylaxis].

Yukoh Aihara1

  • 1Children's Medical Center, Yokohama City University Medical Center. yaihara1@urahp.yokohama-cu.ac.jp

Arerugi = [Allergy]
|May 23, 2007
PubMed
Summary

Food-dependent exercise-induced anaphylaxis (FEIAn) is a rare condition. This study found FEIAn and exercise-induced anaphylaxis (EIAn) are uncommon in Japanese students, highlighting the need for increased awareness among school staff.

Area of Science:

  • Allergy and Immunology
  • Epidemiology
  • Pediatrics

Context:

  • Food-dependent exercise-induced anaphylaxis (FEIAn) is a rare condition with poorly understood pathophysiology and epidemiology.
  • Limited awareness of FEIAn exists among healthcare professionals, particularly school nurses.

Purpose:

  • To investigate the epidemiology of FEIAn and exercise-induced anaphylaxis (EIAn) in Japanese school students.
  • To review global literature on FEIAn cases and identify common triggers and demographics.

Summary:

  • A survey of 353,977 students in Yokohama City and Kanagawa Prefecture reported 30 FEIAn and 44 EIAn cases.
  • Causative foods in Japan included wheat and crustaceans; globally, beans and wheat were common. Ball games and running were frequent triggers.
  • Provocation tests confirmed FEIAn in 11 students, showing transient histamine increases but not tryptase. The average age of first episode was 10-20 years.

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Impact:

  • FEIAn and EIAn are rare but require recognition, as current preventive medications are lacking.
  • Increased familiarity with FEIAn and EIAn among physicians, school nurses, and physical education teachers is crucial for early diagnosis and management.
  • Standardized diagnostic protocols are needed, as provocation tests can be unreliable.