EGG AND JOGGING MADE ME PASS OUT: A CASE OF FOOD-DEPENDENT EXERCISE-INDUCED ANAPHYLAXIS

Received 2023-06-03; Accepted 2023-09-15; Published 2024-01-22

Abstract

Food-dependent exercise-induced anaphylaxis (FDEIA) is a specific subset of exercise-induced anaphylaxis (EIA) that occurs if physical activity is undertaken within a few hours of consuming particular foods. We report a case of 22 years old gentleman with no prior medical illness and allergy history, who developed sudden onset of anaphylaxis symptoms while he was jogging in a park. He consumed an egg sandwich at home prior to his jogging activity & reported a history of similar events occurring in the past. Adrenaline administration is key in the treatment of acute FDEIA. Education on avoidance remain the mainstay of management of FDEIA which includes avoidance of consuming the associated foods 4-6 hours before exercise and 1 hour after exercise. The need of providing self-injectable emergency intramuscular (IM) adrenaline for these patients must be considered.