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Case ReportOpen Access
Food-Dependent, Exercise-Induced Anaphylaxis : First Case Report in Thailand
Aunhachoke K 
,
Rojanametin K ,
Saengapaswiriya A
,
Rojanametin K ,
Saengapaswiriya A A forty-year-old military personnel presented with generalized urticaria, syncope, shortness
of breath and headache associated with jogging after ingestion of a taro-filled bun and a red bean-
filled bun. Skin prick test was positive for bread, taro and wheat but negative for red bean and pre-
servative. Exercise challenge tests were performed. Exercise alone failed to induce any allergic
reaction but exercise following ingestion of a taro-filled bun and a red bean-filled bun induced
generalized urticaria. Since the patients stopped taking these types of food, the urticaria has not
returned. This is the first case report of food-dependent, exercise-induced anaphylaxis in Thailand.
Key word : Exercise, Urticaria, Anaphylaxis, Food
of breath and headache associated with jogging after ingestion of a taro-filled bun and a red bean-
filled bun. Skin prick test was positive for bread, taro and wheat but negative for red bean and pre-
servative. Exercise challenge tests were performed. Exercise alone failed to induce any allergic
reaction but exercise following ingestion of a taro-filled bun and a red bean-filled bun induced
generalized urticaria. Since the patients stopped taking these types of food, the urticaria has not
returned. This is the first case report of food-dependent, exercise-induced anaphylaxis in Thailand.
Key word : Exercise, Urticaria, Anaphylaxis, Food
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