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A Case Report of Food-dependent Exercise-induced Anaphylaxis to Apples  

Yang, Min-Seok (서울의대)
Lee, So-Hee (서울의대)
Kim, Gyeong-Muk (서울의대)
Kwon, Hyeok-Su (서울의대)
Kim, Deok-In (서울의대)
Park, Chang-Han (서울의대)
Son, Seong-Wook (서울의대)
Park, Heung-Woo (서울의대)
Jang, Yun-Seok (서울의대)
Kim, Seon-Sin (서울의대)
Jo, Sang-Heon (서울의대)
Min, Gyeong-Eop (서울의대)
Kim, Yu-Yeong (서울의대)
Publication Information
Journal of asthma, allergy and clinical immunology / v.26, no.3, 2006 , pp. 242-245 More about this Journal
Abstract
We here report a case with apple-dependent exercise-induced anaphylaxis, the first case in Korea. A 23-year-old Korean female patient presented with urticaria, angioedema, and dizziness during mountain climbing. A detailed clinical history revealed that she ingested apple 30 minutes before mountain climbing. Prick to prick skin test to apple showed a positive result. The exercise provocation test or the oral challenge test alone showed a negative result. However, the exercise provocation test after apple ingestion resulted in severe anaphylactic reaction. She was diagnosed as having food-dependent exercise-induced anaphylaxis to apples, and was instructed to avoid exercise after apple ingestion in the future.
Keywords
Anaphylaxis; Food dependent exercise induced anaphylaxis; Apple;
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