Exercise-Induced Anaphylaxis

dc.contributor.authorSayaca N.
dc.date.accessioned2024-07-22T08:03:05Z
dc.date.available2024-07-22T08:03:05Z
dc.date.issued2023
dc.description.abstractAnaphylaxis is an acute, systemic reaction with a potential risk of death. The annual incidence is between 50 and 112 per 100,000 and the prevalence varies between 0.3 and 5.1%. Many risk factors have been identified for anaphylaxis. Anaphylaxis is a sudden onset and life-threatening systemic hypersensitivity reaction due to mast cell and basophil-derived mediators. Common clinical symptoms of anaphylaxis are redness of the skin, pruritus, urticaria, angioedema, morbilliform rash, shortness of breath, chest tightness, deep coughing, wheezing/bronchospasm, itching, sneezing, congestion, discharge in the nose, chest pain, tachycardia, palpitations, bradycardia, dysrhythmia, hypotension, feeling faint, mental change, loss of sphincter control, shock, arrest, dizziness, throbbing headache, feeling of death, restlessness, and confusion. Anaphylaxis can be triggered by exercise or physical activity. Exercise-induced anaphylaxis (EIA) and food-dependent exercise-induced anaphylaxis (FDEIA) are defined in this context. Anaphylaxis can occur during exercise or appear soon after. If the occurrence of anaphylaxis is related to pre-exercise food intake (especially a food to which the patient is sensitive), the terminology of FDEIA is used. The frequency of attacks in both EIA and FDEIA is variable. Generally, attacks do not occur with every exercise. Although both types of anaphylaxis have been reported in all age groups, especially in the 4–74 age range, it is usually seen in adolescent and young adult patients. It is seen slightly more in men than women. It is usually sporadic, but familial cases have also been reported. FDEIA can be classified as specific FDEIA or non-specific FDEIA according to the identification of a culprit food allergen. Symptoms of both FDIEA and EIA can occur at any stage of the exercise, from ten minutes to four hours after food allergen ingestion. Most patients ingest the culprit allergen four to five hours before exercise and can exercise independently. With the cessation of exercise, the symptoms usually improve and may completely disappear in mild cases. In terms of follow-up and treatment, it is important to limit and control the physical activities that trigger the symptoms. Also, training about anaphylaxis action plans should be given to all patients and an adrenaline autoinjector should be prescribed. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.
dc.identifier.DOI-ID10.1007/9783031271847-29
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12119
dc.language.isoEnglish
dc.publisherSpringer International Publishing
dc.titleExercise-Induced Anaphylaxis
dc.typeBook chapter

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