PDF(Pubmed)
Abstract：
Wheat-dependent exercise-induced anaphylaxis is a rare but severe form of anaphylaxis that occurs after consuming wheat products and engaging in physical activity. A case study of a 30-year-old woman suffering from chronic urticaria for the last 5 years highlights the difficulty in diagnosing this condition, as specific triggers were not identified. A diagnostic study called MADx revealed a positive analysis for omega-5-gliadin, leading to a diagnosis of wheat-dependent exercise-induced anaphylaxis. Delayed diagnosis is a common issue, and it can be challenging to distinguish wheat-dependent exercise-induced anaphylaxis from other conditions with similar symptoms. The treatment involves avoiding wheat products and always carrying an epinephrine auto-injector. When evaluating patients with similar symptoms, healthcare providers should include wheat-dependent exercise-induced anaphylaxis in their differential diagnosis. Patients should be educated about the symptoms, triggers, and management to seek immediate medical attention in an emergency.
摘要：
小麦依赖性运动引起的过敏反应是一种罕见但严重的过敏反应，发生在食用小麦产品并进行身体活动后。对过去5年患有慢性荨麻疹的30岁女性的案例研究强调了诊断这种疾病的困难，因为没有确定具体的触发因素。一项名为MADx的诊断研究显示了对omega-5-麦醇溶蛋白的阳性分析，导致小麦依赖性运动引起的过敏反应的诊断。延迟诊断是一个常见的问题，将小麦依赖性运动引起的过敏反应与其他症状相似的情况区分开来可能具有挑战性。治疗包括避免小麦产品，并始终携带肾上腺素自动注射器。在评估有类似症状的患者时，医疗保健提供者应在鉴别诊断中包括小麦依赖性运动引起的过敏反应.应该对患者进行有关症状的教育，触发器,和管理层在紧急情况下立即寻求医疗救助。
