PMID- 23921625
OWN - NLM
STAT- MEDLINE
DCOM- 20131202
LR  - 20130920
IS  - 1423-0097 (Electronic)
IS  - 1018-2438 (Linking)
VI  - 162
IP  - 2
DP  - 2013
TI  - A case of mite-ingestion-associated exercise- induced anaphylaxis mimicking 
      wheat-dependent exercise-induced anaphylaxis.
PG  - 181-3
LID - 10.1159/000351778 [doi]
AB  - We present a case of mite-ingestion-associated exercise-induced anaphylaxis 
      mimicking wheat-dependent exercise-induced anaphylaxis (WDEIA). A 17-year-old boy 
      was referred for an episode of anaphylaxis while jogging, 1.5 h after having 
      eaten okonomiyaki (a Japanese pancake). Laboratory measures revealed a slightly 
      elevated specific immunoglobulin E (IgE) antibody against omega-5 gliadin (0.41 
      kUA/l) and a marked elevation of specific IgE antibody against house-dust mite, 
      Dermatophagoides farinae (142 kUA/l). A detailed interview revealed that, in 
      spite of the referring doctor's advice to discontinue postprandial exercises, he 
      continued his jogging routine after consuming foods containing wheat and also 
      that his younger brother, who had mild intermittent asthma, had suffered a mild 
      asthma attack 2 h after eating the same food. We therefore examined the 
      okonimiyaki mix, which had been stored for several months after opening the 
      package until this episode, under a microscope, and we found an abundant number 
      of live mites, D. farinae. Finally, a diagnosis of mite-ingestion-associated 
      exercise-induced anaphylaxis was made. This clinical entity should be excluded 
      when making a diagnosis of WDEIA.
CI  - (c) 2013 S. Karger AG, Basel.
FAU - Adachi, Yoko S
AU  - Adachi YS
AD  - Department of Pediatrics, Faculty of Medicine, University of Toyama, Toyama, 
      Japan.
FAU - Itazawa, Toshiko
AU  - Itazawa T
FAU - Okabe, Yoshie
AU  - Okabe Y
FAU - Higuchi, Osamu
AU  - Higuchi O
FAU - Ito, Yasunori
AU  - Ito Y
FAU - Adachi, Yuichi
AU  - Adachi Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20130731
PL  - Switzerland
TA  - Int Arch Allergy Immunol
JT  - International archives of allergy and immunology
JID - 9211652
RN  - 37341-29-0 (Immunoglobulin E)
RN  - 9007-90-3 (Gliadin)
SB  - IM
MH  - Adolescent
MH  - Anaphylaxis/*diagnosis/etiology/*immunology
MH  - Animals
MH  - Dermatophagoides farinae/*immunology
MH  - Dermatophagoides pteronyssinus/*immunology
MH  - Diagnosis, Differential
MH  - Eating
MH  - *Exercise
MH  - Flour
MH  - Gliadin/immunology
MH  - Humans
MH  - Immunoglobulin E/blood
MH  - Male
MH  - Wheat Hypersensitivity/diagnosis/immunology
EDAT- 2013/08/08 06:00
MHDA- 2013/12/16 06:00
CRDT- 2013/08/08 06:00
PHST- 2013/02/05 00:00 [received]
PHST- 2013/05/02 00:00 [accepted]
PHST- 2013/08/08 06:00 [entrez]
PHST- 2013/08/08 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 000351778 [pii]
AID - 10.1159/000351778 [doi]
PST - ppublish
SO  - Int Arch Allergy Immunol. 2013;162(2):181-3. doi: 10.1159/000351778. Epub 2013 
      Jul 31.