Anaphylaxie alimentaire à l’effort : un diagnostic par étapes [Food-dependent exercise-induced anaphylaxis : a stepwise diagnosis]

Details

Serval ID
serval:BIB_2CF22180C8E7
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Anaphylaxie alimentaire à l’effort : un diagnostic par étapes [Food-dependent exercise-induced anaphylaxis : a stepwise diagnosis]
Journal
Revue medicale suisse
Author(s)
Gaillard J., Borgeat-Kaeser A., Buss G., Spertini F.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
05/04/2017
Peer-reviewed
Oui
Volume
13
Number
557
Pages
734-738
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Food-dependent exercise-induced anaphylaxis (FDEIA) is a potentially severe food allergy. Physical exercise, NSAID, alcohol, infectious diseases and estrogens are recognized cofactors, able to reduce the amount of allergen needed to achieve a threshold for the induction of anaphylaxis. Various kinds of causative food but only a few responsible proteins have been identified. The best known is wheat ω5-gliadine. An oral food challenge remains the gold standard to prove the diagnosis. Its clinical application remains difficult and includes an allergen challenge, a cofactor challenge and a third step which integrates both of them in a single test. Gluten flour and NSAID + alcohol combination seem more efficient than respectively wheat flour and physical exercise in a provocation test condition.

Keywords
Allergens/immunology, Anaphylaxis/diagnosis, Anaphylaxis/immunology, Anti-Inflammatory Agents, Non-Steroidal/immunology, Ethanol/immunology, Exercise, Food Hypersensitivity/diagnosis, Food Hypersensitivity/immunology, Glutens/immunology, Humans, Wheat Hypersensitivity/diagnosis, Wheat Hypersensitivity/immunology
Pubmed
Create date
09/08/2017 13:26
Last modification date
20/08/2019 13:12
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