Spectrum of allergic response to exercise ranging from itching, flushing, and cutaneous warmth to development of well-circumscribed wheals (large papular lesions with pale centers an...
Diagnosis usually is made by history.
Initially, patients describe generalized feeling of tingling, warmth, and itching.
May start as early as 5 min after initiating exercise or can occ...
Epinephrine (EpiPen) 0.2 to 0.5 mg intramuscular (IM) for severe anaphylactic reaction in adults; 0.01 mg/kg in children
Diphenhydramine (Benadryl) 25 to 50 mg PO q4–6h (children: 5...
Referral to an allergist may be beneficial for skin testing and controlled exercise challenge testing.
Preventative medication has been reported to decrease or sta...
Chong SU, Worm M, Zuberbier T. Role of adverse reactions to food in urticaria and exercise-induced anaphylaxis. Int Arch Allergy Immunol. 2002;129(1):19–26.
Feldweg AM. Exercis...
Exercise may be continued as long as precautions are taken by avoiding all food 6 to 8 hr before exercise and 12 hr after eating food suspected of causing reactions.
Epinephrine should ...
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