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- Mark Greve.
- Warren Alpert School of Medicine at Brown Univ, Department of Emergency Medicine, Division of Sports Medicine, United States of America. Electronic address: mgreve@lifespan.org.
- Am J Emerg Med. 2019 Apr 1; 37 (4): 796.e1-796.e2.
AbstractWe present a unique case of food dependent exercise induced anaphylaxis (FDEIA) triggered by an inhaled allergen in a 23- year-old professional cyclist. FDEIA is considered a rare form of anaphylaxis in which the state of exercise can trigger mast cell degranulation to an allergen which normally does not cause a reaction. It is closely related to exercise induced anaphylaxis, which occurs with exercise but in the absence of a food trigger. The patient experienced an anaphylactic reaction during a bicycle race when the race went through an almond orchard in full bloom. He was successfully stabilized with aggressive measures including steroids, fluids, anti-histamines and multiple doses of epinephrine.Copyright © 2019 Elsevier Inc. All rights reserved.
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