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Case report: 30-yr-old female with exercise induced anaphylaxis
1Parkside Sports Medicine Center, Lutheran General Hospital, Park Ridge, IL 60068.
Medicine and Science in Sports and Exercise
|September 11, 1991
Summary
A patient experienced exercise-induced anaphylaxis, a physical allergy causing a rash and hypotension. Treatment with inhaled cromolyn sodium resolved symptoms, highlighting the importance of recognizing this condition.
Area of Science:
- Allergy and Immunology
- Dermatology
Background:
- Exercise-induced anaphylaxis is a rare physical allergy.
- It can manifest with various symptoms, including dermatological and cardiovascular responses.
Observation:
- A 30-year-old female presented with a pruritic rash and light-headedness during exercise.
- An exercise challenge confirmed a wheal-and-flare rash and symptomatic hypotension.
- Symptoms later occurred with hot showers.
Findings:
- The patient was diagnosed with exercise-induced anaphylaxis.
- Initial treatment with hydroxyzine caused intolerable side effects.
- Inhaled cromolyn sodium effectively resolved the patient's symptoms.
Implications:
- Exercise-induced anaphylaxis may be underdiagnosed.
- Increased physical activity necessitates greater clinical awareness of this condition.
- As a true anaphylactic reaction, it carries risks of significant morbidity and mortality.
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