Food-dependent exercise-induced anaphylaxis
occurs when exercise is started 30 minutes after ingesting food.
Indications for the prescription of self-injectable adrenaline devices in the  community Absolute indications Previous anaphylactic reaction to a food, insect sting, latex or unavoidable aeroallergen Co-existent unstable or moderate-to-severe persistent asthma and food allergy Idiopathic anaphylaxis Food-dependent exercise-induced anaphylaxis
Relative indications Mild-to-moderate peanut/and or tree nut allergy in patients [greater than or equal to] 5 years of age Food allergy in a teenager or young adult Far from a medical facility Reactions to small amounts of food, such as air-borne food allergens or contact via skin only
In other people, exercise can provoke a food allergy, a condition called food-dependent exercise-induced anaphylaxis
, or FDEIA.
Epinephrine is indicated in the emergency treatment of severe anaphylactic reactions to insect stings, bites, food, drugs and other allergens as well as idiopathic or exercise-induced anaphylaxis
Patients with a medical history of asthma, atopic dermatitis, eosinophilic esophagitis, and exercise-induced anaphylaxis
have an increased associated risk for FA.
study of food-dependent exercise-induced anaphylaxis
by analyzing the Japanese cases reported in the literatore.
Conditions to rule out include cardiac problems, exercise-induced hyperventilation, upper and lower respiratory infections or abnormalities, exercise-induced laryngeal dysfunction, exercise-induced anaphylaxis
, and gastroesophageal reflux disease (GERD).
The differential diagnosis of EIA includes cardiac and respiratory conditions that can cause exertional dyspnoea, exercise-induced laryngeal dysfunction, gastro-oesophageal reflux, exercise-induced hyperventilation, and exercise-induced anaphylaxis