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Exercise-induced anaphylaxis

A L Sheffer, K F Austen

    The Journal of Allergy and Clinical Immunology
    |August 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This study identifies a distinct syndrome of exercise-induced anaphylaxis, characterized by allergic-like symptoms during physical activity. It differs from other exertion-related conditions and conventional allergies.

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    Area of Science:

    • Allergy and Immunology
    • Dermatology
    • Sports Medicine

    Background:

    • Exercise can trigger various conditions like asthma and urticaria.
    • A distinct syndrome resembling anaphylaxis during exercise has been observed.
    • This syndrome shares similarities with anaphylactic reactions but lacks a clear antigenic trigger.

    Purpose of the Study:

    • To characterize a specific syndrome of exercise-induced anaphylaxis.
    • To differentiate this syndrome from other exertion-related phenomena.
    • To investigate potential contributing factors and patient history.

    Main Methods:

    • Case series of 16 patients presenting with exercise-associated symptoms.
    • Clinical observation and patient history collection.

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  • Differential diagnosis to exclude conditions like cholinergic urticaria and asthma.

    • Main Results:

    • The syndrome involves pruritus, warmth, generalized urticaria, collapse, GI symptoms, and respiratory distress.
    • 12 patients experienced collapse, 5 had GI symptoms, and 10 had respiratory distress.
    • Family history of atopy (11 patients) and personal history of atopy (6 patients) were noted.

    Conclusions:

    • Exercise-induced anaphylaxis is a distinct clinical entity.
    • It is characterized by specific symptoms and can be severe, including collapse.
    • Atopy may be a predisposing factor, but conventional triggers are absent.