Severe exercise-induced anaphylaxis in a hot and humid area successfully treated with omalizumab: a case report

被引:2
作者
Mobayed, Hassan [1 ]
Al-Nesf, Maryam Ali [1 ]
Robles-Velasco, Karla [2 ,3 ]
Cherrez-Ojeda, Ivan [2 ,3 ]
Ensina, Luis Felipe [4 ]
Maurer, Marcus [5 ,6 ,7 ,8 ]
机构
[1] Hamad Med Corp, Allergy & Immunol Div, Dept Med, Doha, Qatar
[2] Respiralab Res Grp, Guayaquil, Ecuador
[3] Univ Espiritu Santo, Samborondon, Ecuador
[4] Univ Fed Sao Paulo, Dept Pediat, Div Allergy Immunol Rheumatol, Sao Paulo, Brazil
[5] Charite, Inst Allergol, GA2LEN Urticaria Ctr Reference & Excellence UACRE, Berlin, Germany
[6] Free Univ Berlin, Berlin, Germany
[7] Humboldt Univ, Berlin, Germany
[8] Fraunhofer Inst Translat Med & Pharmacol ITMP, Allergol & Immunol, Berlin, Germany
来源
FRONTIERS IN ALLERGY | 2023年 / 4卷
关键词
anaphylaxis; exercise-induced anaphylaxis; omalizumab; diagnosis and management; co-factors;
D O I
10.3389/falgy.2023.1228495
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Exercise-induced anaphylaxis (EIA) is a rare disorder in which anaphylaxis occurs exclusively after physical activity. Here, we report a case of severe EIA where anaphylaxis was initially only induced by strenuous exercise. Suddenly the anaphylaxis got out of control to the degree that usual daily activities triggered it. Exposure to a hot and humid environment appeared to be a cofactor for the development of severe symptoms resistant to usual preventive measures. Treatment with omalizumab (anti-IgE) was initiated and resulted in marked improvement. We discuss unique aspects of this case in comparison to published information on the clinical features, triggering cofactors, diagnosis, and treatment of EIA.
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页数:6
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共 23 条
  • [1] Anaphylaxis triggers in a large tertiary care hospital in Qatar: a retrospective study
    Abunada, Taghreed
    Al-Nesf, Maryam Ali
    Thalib, Lukman
    Kurdi, Rana
    Khalil, Sally
    ElKassem, Wessam
    Mobayed, Hassan M.
    Zayed, Hatem
    [J]. WORLD ALLERGY ORGANIZATION JOURNAL, 2018, 11
  • [2] Two cases of food-dependent exercise-induced anaphylaxis with different culprit foods
    Al-Nesf, Maryam Ali
    Mobayed, Hassan M. S.
    [J]. ANNALS OF THORACIC MEDICINE, 2014, 9 (01) : 42 - 44
  • [3] Anti-IgE treatment with oral immunotherapy in multifood allergic participants: a double-blind, randomised, controlled trial
    Andorf, Sandra
    Purington, Natasha
    Block, Whitney M.
    Long, Andrew J.
    Tupa, Dana
    Brittain, Erica
    Spergel, Amanda Rudman
    Desai, Manisha
    Galli, Stephen J.
    Nadeau, Kari C.
    Chinthrajah, R. Sharon
    [J]. LANCET GASTROENTEROLOGY & HEPATOLOGY, 2018, 3 (02): : 85 - 94
  • [4] Beaudouin E, 2006, Eur Ann Allergy Clin Immunol, V38, P45
  • [5] Successful treatment of exercise-induced anaphylaxis with omalizumab
    Bray, Sarah M.
    Fajt, Merritt L.
    Petrov, Andrej A.
    [J]. ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2012, 109 (04) : 281 - 282
  • [6] World allergy organization anaphylaxis guidance 2020
    Cardona, Victoria
    Ansotegui, Ignacio J.
    Ebisawa, Motohiro
    El-Gamal, Yehia
    Fernandez Rivas, Montserrat
    Fineman, Stanley
    Geller, Mario
    Gonzalez-Estrada, Alexei
    Greenberger, Paul A.
    Sanchez Borges, Mario
    Senna, Gianenrico
    Sheikh, Aziz
    Kase Tanno, Luciana
    Thong, Bernard Y.
    Turner, Paul J.
    Worm, Margitta
    [J]. WORLD ALLERGY ORGANIZATION JOURNAL, 2020, 13 (10):
  • [7] Exercise-induced anaphylaxis
    Castells, MC
    Horan, RE
    Sheffer, AL
    [J]. CURRENT ALLERGY AND ASTHMA REPORTS, 2003, 3 (01) : 15 - 21
  • [8] Successful treatment with omalizumab in challenge confirmed exercise-induced anaphylaxis
    Christensen, Morten J.
    Bindslev-Jensen, Carsten
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2017, 5 (01) : 204 - 206
  • [9] Update on omalizumab in allergen immunotherapy
    Dantzer, Jennifer A.
    Wood, Robert A.
    [J]. CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY, 2021, 21 (06) : 559 - 568
  • [10] FOOD-DEPENDENT, EXERCISE-INDUCED ANAPHYLAXIS - A STUDY ON 11 JAPANESE CASES
    DOHI, M
    SUKO, M
    SUGIYAMA, H
    YAMASHITA, N
    TADOKORO, K
    JUJI, F
    OKUDAIRA, H
    SANO, Y
    ITO, K
    MIYAMOTO, T
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1991, 87 (01) : 34 - 40