Wheat - Dependent Exercise-Induced Anaphylaxis Occurred Witha Delayed Onset of 10 to 24 hours After Wheat Ingestion: A Case Report

作者：Zhu Rongfei; Li Wenjing; Huang Nan; Liu Guanghui^*

来源：Allergy Asthma & Immunology Research, 2014, 6(4): 370-372.

DOI：10.4168/aair.2014.6.4.370

• Wheat-dependent exercise-induced anaphylaxis
• chronic gastroenteritis
• superior mesenteric artery syndrome

Wheat-dependent exercise-induced anaphylaxis (WDEIA) usually occurs 1 to 4 hours after wheat ingestion and the pathophysiology of WDEIA remains unknown. It is recommended that WDEIA patients refrain from exercise for 4 to 6 hours after wheat ingestion. We report a case of a 51-year-old man who experienced 5 anaphylaxis attacks; two of which occurred 10 to 24 hours after wheat ingestion and exercise. He has a history of chronic gastroenteritis that responds well to antihistamine drugs but not proton pump inhibitors (PPIs) and prokinetic agents. Abdominal CT results implied the possibility of superior mesenteric artery syndrome. We suggest that WDEIA occurs 6 hours after wheat ingestion in cases compounded by obstructive gastrointestinal diseases.

• 出版日期2014-7
• 单位华中科技大学