Abstract
Introduction: Food dependent exercise induced anaphylaxis is a rare, potentially fatal yet under-recognized condition in which patients develop anaphylaxis only if they exercise within a few hours of food ingestion.
Case presentation: We present a case of food dependent exercise induced anaphylaxis in a 23 years old Saudi girl. She had three episodes of anaphylaxis, all happened during exercise that was preceded by food ingestion. Skin prick test confirmed wheat to be the causative allergen. Avoidance of this food before exercise resulted in absence of further reactions.
Conclusion: Food dependent exercise induced anaphylaxis should be considered in otherwise unexplained anaphylactic reactions. Accurate diagnosis and identification of the causative food allergens will lead to life-saving preventative strategies.