FOOD DEPENDENT EXERCISE INDUCED ANAPHYLAXIS

Abstract

Food dependent exercise induced anaphylaxis is an uncommon condition in childhood and occurs during exercise, preceded by ingestion of culprit food, which used to be independently tolerated. Wheat gluten is the commonest food responsible for food dependent exercise induced anaphylaxis. Diagnosis is mainly by evaluation of clinical history. As allergy tests do not give accurate results, modified exercise challenge tests are needed. Accurate diagnosis definitely helps the patient to return to exercise with confidence. Patient should avoid exercise for 4-6 hours after consuming the offending food but can take other foods without any restriction. Parents should be educated about the importance of carrying epinephrine for emergency.