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[Exercise-induced urticaria and anaphylaxis]

R von Vigier1, A L Sheffer, W J Pichler

  • 1Institut für Immunologie und Allergologie, Inselspital, Bern.

Deutsche Medizinische Wochenschrift (1946)
|October 13, 1995
PubMed
Summary
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Exercise-induced urticaria and anaphylaxis (EIUA) management requires understanding triggers and prodromal symptoms. This study details common activities, symptoms, and co-factors in 30 EIUA patients to guide effective patient care.

Area of Science:

  • Allergy and Immunology
  • Dermatology
  • Sports Medicine

Context:

  • Physical exercise-induced urticaria and anaphylaxis (EIUA) is a complex syndrome.
  • Management guidelines are needed for this condition affecting active individuals.

Purpose:

  • To characterize EIUA, identifying precipitating activities, symptoms, and co-factors.
  • To gather data for developing effective management strategies for EIUA.

Summary:

  • 30 patients with EIUA were studied via questionnaire.
  • Common triggers include jogging, ball games, and walking, with symptoms appearing minutes to hours post-exercise.
  • Skin manifestations, dyspnea, GI issues, and syncope (with prodromal symptoms) were reported. Atopy was present in 70%.

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Impact:

  • Identifies key triggers and symptoms of EIUA for better diagnosis.
  • Highlights the role of co-factors like weather, sweating, and food.
  • Informs the development of patient education on avoiding triggers and managing symptoms.