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Exercise-Induced Anaphylaxis, Sports Medicine

Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Distinct form of physical allergy characterized by a spectrum of exercise-induced symptoms ranging from mild skin symptoms such as pruritus and urticaria to angioedema, hypotension, ...

DIAGNOSIS

HISTORY

  • Transient exercise-induced itching and cutaneous erythema ± urticaria

  • Other symptoms include generalized itching, dizziness, GI colic, headache, choking sensation, urticaria or angioed...

TREATMENT

  • Prehospital:

    • ABCs

    • Subcutaneous administration of 0.3 to 0.5 mL epinephrine 1:1,000 if systemic symptoms of anaphylaxis are present and then call 911

    • Trendelenburg position

  • Emergency department (...

ONGOING CARE

PROGNOSIS

  • Generally favorable prognosis for EIAn and FDEIAn

  • Few fatalities have been reported with attacks often becoming less frequent and severe over time.

FOLLOW-UP RECOMMENDATIONS

  • Cease p...

REFERENCES

1
Castells MC, Horan RF, Sheffer AL. Exercise-induced anaphylaxis. Curr Allergy Asthma Rep.  2003;3(1):15–21.
2
Feldweg AM. Exercise-induced anaphylaxis. Immunol Allergy Clin North Am. &#...

CLINICAL PEARLS

  • Epinephrine is first-line treatment.

  • Because symptoms may vary significantly from one episode to another and among patients, some patients may not feel comfortable returning to activity...

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