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Kanelbullar utlöste anafylaktisk reaktion - Genesen kan vara veteberoende ansträngningsutlöst anafylaxi

Hiller, Adriana Maria LU orcid and Willers, Stefan LU (2017) In Läkartidningen 114.
Abstract

Cinnamon rolls triggered anaphylactic reaction. The genesis could be wheat-dependent exercise-induced anaphylaxis Two case reports from our Department of Allergology illustrate the wheat-dependent exercise-induced anaphylaxis (WDEIA), which is a relatively rare, yet potentially fatal form of food allergy. Wheat (Triticum aestivum) is the most commonly grown crop world-wide, and some individuals cannot tolerate it due to wheat hypersensitivity. The most dangerous reaction is the anaphylaxis due to harmful immune responses to various parts of the wheat proteins. ω-5-gliadin is the major causative allergen in wheat hypersensitivity. WDEIA is a poorly recognized disorder. Therefore, any patient presenting anaphylactic reaction at the... (More)

Cinnamon rolls triggered anaphylactic reaction. The genesis could be wheat-dependent exercise-induced anaphylaxis Two case reports from our Department of Allergology illustrate the wheat-dependent exercise-induced anaphylaxis (WDEIA), which is a relatively rare, yet potentially fatal form of food allergy. Wheat (Triticum aestivum) is the most commonly grown crop world-wide, and some individuals cannot tolerate it due to wheat hypersensitivity. The most dangerous reaction is the anaphylaxis due to harmful immune responses to various parts of the wheat proteins. ω-5-gliadin is the major causative allergen in wheat hypersensitivity. WDEIA is a poorly recognized disorder. Therefore, any patient presenting anaphylactic reaction at the emergency department, typically after ingestion of wheat products followed by physical exercise within one to four hours, should be referred to an allergy clinic for the allergological evaluation. Further research should be carried out to better understand the mechanisms behind, and to increase the awareness on WDEIA.

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Abstract (Swedish)
Veteberoende ansträngningsutlöst anafylaxi är en potentiellt livshotande födoämnesallergi.Omega-5-gliadin är huvudallergenet bakom sensibilisering mot vete.IgE-sensibilisering mot vete i kombination med den samverkande faktorn fysisk ansträngning kan orsaka anafylaxi.Veteberoende ansträngningsutlöst anafylaxi är ett viktigt tillstånd att känna till.Det är viktigt att uppta noggrann anamnes på alla som uppsöker akutvård för någon anafylaxi, och de bör remitteras till en allergimottagning för utredning.Utökad forskning inom området bör eftersträvas för att öka medvetandet bland vårdpersonal om allergiformen och få till stånd snabbare diagnostisering av tillståndet.
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author
and
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
114
pages
4 pages
publisher
Swedish Medical Association
external identifiers
  • scopus:85038641635
  • pmid:28972639
ISSN
0023-7205
language
Swedish
LU publication?
no
id
c223ad26-777b-4bff-9dff-ad4cb78aa49a
date added to LUP
2018-01-11 13:02:23
date last changed
2024-03-01 11:28:24
@article{c223ad26-777b-4bff-9dff-ad4cb78aa49a,
  abstract     = {{<p>Cinnamon rolls triggered anaphylactic reaction. The genesis could be wheat-dependent exercise-induced anaphylaxis Two case reports from our Department of Allergology illustrate the wheat-dependent exercise-induced anaphylaxis (WDEIA), which is a relatively rare, yet potentially fatal form of food allergy. Wheat (Triticum aestivum) is the most commonly grown crop world-wide, and some individuals cannot tolerate it due to wheat hypersensitivity. The most dangerous reaction is the anaphylaxis due to harmful immune responses to various parts of the wheat proteins. ω-5-gliadin is the major causative allergen in wheat hypersensitivity. WDEIA is a poorly recognized disorder. Therefore, any patient presenting anaphylactic reaction at the emergency department, typically after ingestion of wheat products followed by physical exercise within one to four hours, should be referred to an allergy clinic for the allergological evaluation. Further research should be carried out to better understand the mechanisms behind, and to increase the awareness on WDEIA.</p>}},
  author       = {{Hiller, Adriana Maria and Willers, Stefan}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{10}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Kanelbullar utlöste anafylaktisk reaktion - Genesen kan vara veteberoende ansträngningsutlöst anafylaxi}},
  volume       = {{114}},
  year         = {{2017}},
}