겨울철에만 반복적으로 발생하였던 음식물의존성 운동유발성 아나필락시스 1예
A case of food-dependent exercise-induced anaphylaxis developed only in winter
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음식물의존성 운동유발성 아나필락시스는 음식물을 섭취한 후에 운동을 할 경우 아나필락시스의 소견을 보이는 경우를 말한다. 저자들은 겨울에만 반복적으로 증상이 발현되고, 원인 음식물 섭취 후 실내의 높은 기온에서 시행한 운동 유발검사에서 음성소견을 보이나, 실외의 낮은 기온에서 시행한 운동 유발검사에서 양성소견을 보이는 음식물의존성 운동유발성 아나필락시스 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Food-dependent exercise-induced anaphylaxis has been recognized a variant of exercise-induced anaphylaxis charaterised by symptoms occuring on exertion after certain meal. We experienced a patient who developed an anaphylaxis induced by wheat flour made food followed by exercise only in cold temperature. A 22-year-old male patient was presented urticaria, angioedema, dyspnea, and loss of consciousness induced by exercise after ingestion of wheat flour made food only in winter. Skin prick test was negative for wheat or bread but positive for mushroom. By contrast, RAST was positive for wheat and negative for mushroom. In order to confirm the diagnosis exercise challenge test was done. The attack developed after ingestion of wheat flour made food and 10min of outdoor jogging in temperature about 10℃, but not by indoor treadmill test in temperature about 20℃ or ingestion of mushroom. This is the first case of food-dependent exercise-induced anaphylaxis developed only in cold temperature in Korea
참고문헌 (14)
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