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Food-dependent exercise-induced anaphylaxis in Korea: a multicenter retrospective case study

Other Title
음식물 의존성 운동 유발성 아나필락시스: 국내 다기관 후향적 연구
임, 재형; 권, 혜윤; 예, 영민; 박, 해심; 김, 태범; 최, 길순; 김, 주희; 장, 광천; 김, 미경; 허, 규영; 고, 영일; 손, 성욱; 김, 철우; 대한 천식 알레르기학회; 두드러기/혈관부종/아나필락시스 워크그룹
Allergy Asthma & Respiratory Diseases, 1(3):203-210, 2013
Journal Title
Allergy Asthma & Respiratory Diseases; 알레르기 천식 호흡기질환
Purpose:To investigate the causes, clinical features and characteristics of food-dependent exercise-induced anaphylaxis (FDEIA) in Korea.

Methods:A retrospective medical chart review was performed on the patients diagnosed with anaphylaxis between 2007 and 2011 in 14 hospitals in Korea. Cases with FDEIA were subsequently identified among anaphylaxis patients, and subgroup analyses were done to assess clinical characteristics of FDEIA.

Results:A total of 62 subjects with FDEIA (male, 72.6%; aged 16 to 70 years) were enrolled in 10 hospitals. Wheat (69.3%) was the most common cause of FDEIA, followed by meat (8.1%), seafood (6.5%), and vegetables (6.5%). The clinical manifestations were cutaneous (100%), respiratory (64.5%), cardiovascular (61.3%), and gastrointestinal (9.7%), respectively. In severity assessment, approximately 40% of FDEIA were classified as severe anaphylaxis. Portable epinephrine auto-injector was prescribed to 17.2% of patients, and about one fifth of the patients experienced redevelopment of anaphylactic symptoms during follow-up period. There was no significant difference of age, gender, latent period, total immunoglobulin E, and past history of allergic disease between patients with severe anaphylaxis group and patients with mild-to-moderate group.

Conclusion:Wheat is the most common cause of FDEIA in Korea. Because significant number of patients with FDEIA experienced anaphylactic symptoms after diagnosis of FDEIA, more comprehensive therapeutic and educational approaches will be required to prevent recurrent development of anaphylaxis.
Food hypersensitivityExerciseAnaphylaxis
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Journal Papers > School of Medicine / Graduate School of Medicine > Allergy
AJOU Authors
예, 영민박, 해심
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