Clinical Management of Exercise-Induced Anaphylaxis and Cholinergic Urticaria
Exercising is both pleasant and healthy. In some individuals, it can trigger adverse reactions. Examples of these reactions include exercise-induced anaphylaxis (EIA) and cholinergic urticaria (ChoIU). EIA presents as food-associated and non-food-associated conditions. Strenuous exertion may provoke...
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| Veröffentlicht in: | The journal of allergy and clinical immunology in practice (Cambridge, MA) MA), 2020-07, Vol.8 (7), p.2209-2214 |
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| container_title | The journal of allergy and clinical immunology in practice (Cambridge, MA) |
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| creator | Geller, Mario |
| description | Exercising is both pleasant and healthy. In some individuals, it can trigger adverse reactions. Examples of these reactions include exercise-induced anaphylaxis (EIA) and cholinergic urticaria (ChoIU). EIA presents as food-associated and non-food-associated conditions. Strenuous exertion may provoke both EIA and ChoIU, but with exercise the passive warming will induce solely ChoIU and not EIA. The morphologic size of the urticarial wheals can help distinguish between these 2 types of conditions. Small punctate wheals are present in ChoIU and large ones in EIA. Wheat is the most common food associated with food-dependent exercise-induced anaphylaxis and gluten is its most important antigen. Omega-5-gliadin is the major epitope of gluten. The most common medicines associated with drug-dependent exercise-induced anaphylaxis are the nonsteroidal anti-inflammatory drugs including aspirin. |
| doi_str_mv | 10.1016/j.jaip.2020.01.025 |
| format | Article |
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In some individuals, it can trigger adverse reactions. Examples of these reactions include exercise-induced anaphylaxis (EIA) and cholinergic urticaria (ChoIU). EIA presents as food-associated and non-food-associated conditions. Strenuous exertion may provoke both EIA and ChoIU, but with exercise the passive warming will induce solely ChoIU and not EIA. The morphologic size of the urticarial wheals can help distinguish between these 2 types of conditions. Small punctate wheals are present in ChoIU and large ones in EIA. Wheat is the most common food associated with food-dependent exercise-induced anaphylaxis and gluten is its most important antigen. Omega-5-gliadin is the major epitope of gluten. The most common medicines associated with drug-dependent exercise-induced anaphylaxis are the nonsteroidal anti-inflammatory drugs including aspirin.</description><identifier>ISSN: 2213-2198</identifier><identifier>EISSN: 2213-2201</identifier><identifier>DOI: 10.1016/j.jaip.2020.01.025</identifier><identifier>PMID: 32620433</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Accreditation ; Alcohol ; Allergens ; Anaphylaxis ; Anaphylaxis - diagnosis ; Anaphylaxis - therapy ; Anti-inflammatory agents ; Antigens ; Aspirin ; Asthma ; Cholinergic Agents ; Disease prevention ; Drug dependence ; Edema ; Epitopes ; Exercise ; Food ; Food allergies ; Gliadin ; Gluten ; Histamine ; Humans ; Hypotension ; Inflammation ; Medical education ; Nonsteroidal anti-inflammatory drugs ; Urticaria ; Urticaria - diagnosis ; Urticaria - etiology ; Urticaria - therapy</subject><ispartof>The journal of allergy and clinical immunology in practice (Cambridge, MA), 2020-07, Vol.8 (7), p.2209-2214</ispartof><rights>Copyright © 2020 American Academy of Allergy, Asthma & Immunology. 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American Academy of Allergy, Asthma & Immunology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c331t-5997e05391a6ab56e6fd64111fa6adc68732a9d93174e7b30468255718ab687a3</citedby><cites>FETCH-LOGICAL-c331t-5997e05391a6ab56e6fd64111fa6adc68732a9d93174e7b30468255718ab687a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32620433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geller, Mario</creatorcontrib><title>Clinical Management of Exercise-Induced Anaphylaxis and Cholinergic Urticaria</title><title>The journal of allergy and clinical immunology in practice (Cambridge, MA)</title><addtitle>J Allergy Clin Immunol Pract</addtitle><description>Exercising is both pleasant and healthy. In some individuals, it can trigger adverse reactions. Examples of these reactions include exercise-induced anaphylaxis (EIA) and cholinergic urticaria (ChoIU). EIA presents as food-associated and non-food-associated conditions. Strenuous exertion may provoke both EIA and ChoIU, but with exercise the passive warming will induce solely ChoIU and not EIA. The morphologic size of the urticarial wheals can help distinguish between these 2 types of conditions. Small punctate wheals are present in ChoIU and large ones in EIA. Wheat is the most common food associated with food-dependent exercise-induced anaphylaxis and gluten is its most important antigen. Omega-5-gliadin is the major epitope of gluten. The most common medicines associated with drug-dependent exercise-induced anaphylaxis are the nonsteroidal anti-inflammatory drugs including aspirin.</description><subject>Accreditation</subject><subject>Alcohol</subject><subject>Allergens</subject><subject>Anaphylaxis</subject><subject>Anaphylaxis - diagnosis</subject><subject>Anaphylaxis - therapy</subject><subject>Anti-inflammatory agents</subject><subject>Antigens</subject><subject>Aspirin</subject><subject>Asthma</subject><subject>Cholinergic Agents</subject><subject>Disease prevention</subject><subject>Drug dependence</subject><subject>Edema</subject><subject>Epitopes</subject><subject>Exercise</subject><subject>Food</subject><subject>Food allergies</subject><subject>Gliadin</subject><subject>Gluten</subject><subject>Histamine</subject><subject>Humans</subject><subject>Hypotension</subject><subject>Inflammation</subject><subject>Medical education</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Urticaria</subject><subject>Urticaria - diagnosis</subject><subject>Urticaria - etiology</subject><subject>Urticaria - therapy</subject><issn>2213-2198</issn><issn>2213-2201</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEFLwzAYhoMoTub-gAcpePHSmi9p0vY4ytTBhhd3DmmbbiltWpMVtn9vxjYP5vIl5HlfPh6EngBHgIG_NVEj9RARTHCEIcKE3aAHQoCGhGC4vd4hSydo5lyD_UkhwTG-RxNKOMExpQ9onbfa6FK2wVoauVWdMvugr4PFQdlSOxUuTTWWqgrmRg67YysP2gXSVEG-631S2a0ug43d-wqr5SO6q2Xr1Owyp2jzvvjOP8PV18cyn6_CklLYhyzLEoUZzUByWTCueF3xGABq_65KniaUyKzKKCSxSgqKY54SxhJIZeE_JZ2i13PvYPufUbm96LQrVdtKo_rRCRJ7B4wwnnn05R_a9KM1fjtPQZoQ4DHxFDlTpe2ds6oWg9WdtEcBWJx8i0acfIuTb4FBeN8-9HypHotOVX-Rq136C-hAehw</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Geller, Mario</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202007</creationdate><title>Clinical Management of Exercise-Induced Anaphylaxis and Cholinergic Urticaria</title><author>Geller, Mario</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c331t-5997e05391a6ab56e6fd64111fa6adc68732a9d93174e7b30468255718ab687a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accreditation</topic><topic>Alcohol</topic><topic>Allergens</topic><topic>Anaphylaxis</topic><topic>Anaphylaxis - diagnosis</topic><topic>Anaphylaxis - therapy</topic><topic>Anti-inflammatory agents</topic><topic>Antigens</topic><topic>Aspirin</topic><topic>Asthma</topic><topic>Cholinergic Agents</topic><topic>Disease prevention</topic><topic>Drug dependence</topic><topic>Edema</topic><topic>Epitopes</topic><topic>Exercise</topic><topic>Food</topic><topic>Food allergies</topic><topic>Gliadin</topic><topic>Gluten</topic><topic>Histamine</topic><topic>Humans</topic><topic>Hypotension</topic><topic>Inflammation</topic><topic>Medical education</topic><topic>Nonsteroidal anti-inflammatory drugs</topic><topic>Urticaria</topic><topic>Urticaria - diagnosis</topic><topic>Urticaria - etiology</topic><topic>Urticaria - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geller, Mario</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geller, Mario</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Management of Exercise-Induced Anaphylaxis and Cholinergic Urticaria</atitle><jtitle>The journal of allergy and clinical immunology in practice (Cambridge, MA)</jtitle><addtitle>J Allergy Clin Immunol Pract</addtitle><date>2020-07</date><risdate>2020</risdate><volume>8</volume><issue>7</issue><spage>2209</spage><epage>2214</epage><pages>2209-2214</pages><issn>2213-2198</issn><eissn>2213-2201</eissn><abstract>Exercising is both pleasant and healthy. In some individuals, it can trigger adverse reactions. Examples of these reactions include exercise-induced anaphylaxis (EIA) and cholinergic urticaria (ChoIU). EIA presents as food-associated and non-food-associated conditions. Strenuous exertion may provoke both EIA and ChoIU, but with exercise the passive warming will induce solely ChoIU and not EIA. The morphologic size of the urticarial wheals can help distinguish between these 2 types of conditions. Small punctate wheals are present in ChoIU and large ones in EIA. Wheat is the most common food associated with food-dependent exercise-induced anaphylaxis and gluten is its most important antigen. Omega-5-gliadin is the major epitope of gluten. The most common medicines associated with drug-dependent exercise-induced anaphylaxis are the nonsteroidal anti-inflammatory drugs including aspirin.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>32620433</pmid><doi>10.1016/j.jaip.2020.01.025</doi><tpages>6</tpages></addata></record> |
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| ispartof | The journal of allergy and clinical immunology in practice (Cambridge, MA), 2020-07, Vol.8 (7), p.2209-2214 |
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| subjects | Accreditation Alcohol Allergens Anaphylaxis Anaphylaxis - diagnosis Anaphylaxis - therapy Anti-inflammatory agents Antigens Aspirin Asthma Cholinergic Agents Disease prevention Drug dependence Edema Epitopes Exercise Food Food allergies Gliadin Gluten Histamine Humans Hypotension Inflammation Medical education Nonsteroidal anti-inflammatory drugs Urticaria Urticaria - diagnosis Urticaria - etiology Urticaria - therapy |
| title | Clinical Management of Exercise-Induced Anaphylaxis and Cholinergic Urticaria |
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