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Wheat - Dependent Exercise-Induced Anaphylaxis Occurred Witha Delayed Onset of 10 to 24 hours After Wheat Ingestion: A Case Report

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Allergy, Tongji Hosp, Wuhan 430030, Peoples R China
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关键词: Wheat-dependent exercise-induced anaphylaxis chronic gastroenteritis superior mesenteric artery syndrome

摘要:
Wheat-dependent exercise-induced anaphylaxis (WDEIA) usually occurs 1 to 4 hours after wheat ingestion and the pathophysiology of WDEIA remains unknown. It is recommended that WDEIA patients refrain from exercise for 4 to 6 hours after wheat ingestion. We report a case of a 51-year-old man who experienced 5 anaphylaxis attacks; two of which occurred 10 to 24 hours after wheat ingestion and exercise. He has a history of chronic gastroenteritis that responds well to antihistamine drugs but not proton pump inhibitors (PPIs) and prokinetic agents. Abdominal CT results implied the possibility of superior mesenteric artery syndrome. We suggest that WDEIA occurs 6 hours after wheat ingestion in cases compounded by obstructive gastrointestinal diseases.

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出版当年[2013]版:
大类 | 3 区 医学
小类 | 4 区 过敏 4 区 免疫学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 3 区 过敏
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出版当年[2012]版:
Q2 ALLERGY Q3 IMMUNOLOGY
最新[2023]版:
Q2 ALLERGY Q2 IMMUNOLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Allergy, Tongji Hosp, Wuhan 430030, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Allergy, Tongji Hosp, Wuhan 430030, Peoples R China [*1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Allergy, Wuhan 430030, Peoples R China
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