Food Dependent Exercise Induced Anaphylaxis

In this unusual condition, attacks only occur when the exercise follows within a couple of hours of the ingestion of specific foods, such as celery, shellfish, squid, peaches, or wheat. The mechanisms that result in food-dependent exercise-induced anaphy-laxis are obscure. This disorder, although rare, is important in the interpretation of dietary challenge studies of food intolerance because in these patients a simple double-blind food challenge without exercise will fail to validate a history of food intolerance.

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