A case of food-dependent exercise-induced anaphylaxis associated with repeated episodes of syncope

H. Tashiro, S. Hori, Y. Shinozawa, K. Obara, Seitaro Fujishima, Y. Miyata, J. Namiki, J. Koizumi, Junichi Sasaki, T. Hirata

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

This report describes a patient with food-dependent exercise-induced anaphylaxis (FEA). A 25-year-old female has had three episodes of syncopal attack associated with urticaria in the past two years: the attacks have been developed by exercise after taking meals made of wheat flour. She has an allergic predisposition to metals. No abnormal findings were observed in the routine work up for syncope including, ECG, 24-hour Holter ECG, UCG, tilt table test, and EEG examinations. A provocative test for FEA was performed. It included food (sandwich) intake followed by exercise. The serum histamine concentration was elevated to a three times higher than the control value after the provocation. Accordingly, she was diagnosed as FEA and advised not to take wheat flour prior to physical exercise. No syncopal episode has been observed during the 16 months since the diagnosis.

Original languageEnglish
Pages (from-to)587-590
Number of pages4
JournalRespiration and Circulation
Volume41
Issue number6
Publication statusPublished - 1993 Jun

Fingerprint

Syncope
Anaphylaxis
Exercise
Food
Flour
Triticum
Electrocardiography
Tilt-Table Test
Urticaria
Histamine
Meals
Electroencephalography
Eating
Metals
Serum

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

Cite this

Tashiro, H., Hori, S., Shinozawa, Y., Obara, K., Fujishima, S., Miyata, Y., ... Hirata, T. (1993). A case of food-dependent exercise-induced anaphylaxis associated with repeated episodes of syncope. Respiration and Circulation, 41(6), 587-590.

A case of food-dependent exercise-induced anaphylaxis associated with repeated episodes of syncope. / Tashiro, H.; Hori, S.; Shinozawa, Y.; Obara, K.; Fujishima, Seitaro; Miyata, Y.; Namiki, J.; Koizumi, J.; Sasaki, Junichi; Hirata, T.

In: Respiration and Circulation, Vol. 41, No. 6, 06.1993, p. 587-590.

Research output: Contribution to journalArticle

Tashiro, H, Hori, S, Shinozawa, Y, Obara, K, Fujishima, S, Miyata, Y, Namiki, J, Koizumi, J, Sasaki, J & Hirata, T 1993, 'A case of food-dependent exercise-induced anaphylaxis associated with repeated episodes of syncope', Respiration and Circulation, vol. 41, no. 6, pp. 587-590.
Tashiro, H. ; Hori, S. ; Shinozawa, Y. ; Obara, K. ; Fujishima, Seitaro ; Miyata, Y. ; Namiki, J. ; Koizumi, J. ; Sasaki, Junichi ; Hirata, T. / A case of food-dependent exercise-induced anaphylaxis associated with repeated episodes of syncope. In: Respiration and Circulation. 1993 ; Vol. 41, No. 6. pp. 587-590.
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