Food-dependent exercise-induced anaphylaxis

被引:30
|
作者
Foong, Ru-Xin [1 ,2 ,3 ]
Giovannini, Mattis [2 ,4 ]
du Toit, George [1 ,2 ,3 ]
机构
[1] Guys & St Thomas NHS Fdn Trust, Evelina London Childrens Hosp, Childrens Allergy Serv, London SE1 7EH, England
[2] Kings Coll London, Sch Life Course Sci, Dept Women & Childrens Hlth, Pediat Allergy Grp, London, England
[3] Kings Coll London, Sch Immunol & Microbial Sci, Peter Gorer Dept Immunobiol, London, England
[4] Univ Florence, Anna Meyer Childrens Hosp, Dept Pediat, Allergy Unit, Florence, Italy
关键词
anaphylaxis; exercise-induced anaphylaxis; food-dependent exercise-induced anaphylaxis; OMEGA-5; GLIADIN; WHEAT; ALLERGY; DIAGNOSIS; CHILDREN;
D O I
10.1097/ACI.0000000000000531
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Purpose of review The following article provides an overview of food-dependent exercise-induced anaphylaxis (FD-EIAn). The review focuses on the epidemiology, pathophysiology, and clinical findings of FD-EIAn and details current practice in terms of the investigation, management, and treatment options available. Recent findings The management of FD-EIAn has not changed significantly over the last few years and still requires careful investigation by an experienced clinician to ensure that the correct diagnosis is made and appropriate treatment is given. Although new therapies such as synthetic prostaglandin E1 analogs and IgE monoclonal antibodies have been trialed as treatment options for FD-EIAn, the mainstay of treatment remains the graded reintroduction to exercise in a supervised setting. Summary FD-EIAn is a rare but serious condition that can have a significant impact on patients' lives. This review aims to discuss new relevant research into this field to help guide clinicians in managing this condition.
引用
收藏
页码:224 / 228
页数:5
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