关键词: elderly food-dependent exercise-induced anaphylaxis

Mesh : Male Humans Aged Aged, 80 and over Anaphylaxis / diagnosis etiology Food Hypersensitivity / complications diagnosis Exercise-Induced Allergies Allergens Exercise Gliadin

来  源:   DOI:10.2169/internalmedicine.0659-22   PDF(Pubmed)

Abstract:
The development of allergic diseases is common in the young but rare in the elderly. We encountered an elderly patient with food-dependent exercise-induced anaphylaxis (FDEIA). An 82-year-old man was rushed to the hospital for symptoms of anaphylaxis. Because the symptoms occurred after ingestion of wheat products and exercise, we made a diagnosis of FDEIA based on a high ω5-gliadin IgE level and a positive exercise test. Based on our review of the existing literature, this was the oldest patient to ever be diagnosed with FDEIA in Japan. This case suggests that physicians should keep in mind that older adults can develop FDEIA.
摘要:
过敏性疾病的发展在年轻人中很常见,但在老年人中很少见。我们遇到了一位患有食物依赖性运动引起的过敏反应(FDEIA)的老年患者。一名82岁的男子因过敏反应症状被紧急送往医院。因为症状发生在摄入小麦产品和运动后,我们根据高ω5-麦醇溶蛋白IgE水平和运动试验阳性对FDEIA进行诊断。根据我们对现有文献的回顾,这是日本有史以来被诊断为FDEIA的年龄最大的患者。这种情况表明,医生应该记住,老年人可以发展为FDEIA。
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