Foods other than wheat |
Beef, pork |
Cow’s milk, chicken, fish,
vegetables |
Beef, pork, vegetables |
Rice, fish, beef, shrimp |
Rice,
chicken, milk, fish, sesame, soy beans, vegetables, |
Age |
7 yo |
7 yo |
11 yo |
12 yo |
12 yo |
Season |
May |
October |
October |
March |
October |
Augmenting factors |
– |
– |
– |
– |
– |
Exercise |
Running |
Running |
Walking |
Running |
Football |
Time from intake of culprit food to exercise |
1 hour |
20 minutes |
10
minutes |
5 hours |
30 minutes |
Onset of anaphylaxis after exercise |
1 hour |
20 minutes |
2 hours |
40
minutes |
30 minutes |
Symptoms of anaphylaxis |
Urticaria, nausea, cough |
Eyelid edema,
dyspnea |
Eyelid edema, dyspnea, cough |
Urticaria, nasal discharge,
dyspnea |
Urticaria, cough, dyspnea, conjunctival
injection |
Treatment |
Intramuscular adrenaline, β2-stimulant inhalation, steroid |
Intramuscular adrenaline (twice), antihistamine, steroid |
Intramuscular
adrenaline, steroid |
Intramuscular adrenaline, antihistamine, steroid,
oxygen |
Intramuscular adrenaline, β2-stimulant inhalation,
antihistamine, steroid |