[Exercise-induced urticaria and anaphylaxis].

R von Vigier; A L Sheffer; W J Pichler

doi:10.1055/s-2008-1055487

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[Exercise-induced urticaria and anaphylaxis].

R von Vigier·A L Sheffer·W J Pichler

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Abstract

AIM: The study was designed to characterise more exactly the complex syndrome of exercise-induced urticaria and anaphylaxis in order to obtain guidelines for their management. METHODS: 30 patients (18 women and 12 men with physical exercise-induced urticaria and anaphylaxis were investigated by questionnaire. The following items were of particular interest: age and sex; age at first manifestation; type, duration and intensity of the precipitating activity; type, duration and sequence of symptoms; prophylactic or therapeutic measures as cofactors. RESULTS: Initial symptoms occurred at an average age of 22 (7-50) years. Atopy was present in 70%. Jogging (60%), ball games (40%) and walking (27%) were the most frequent precipitating activities. On each occasion symptoms began a few minutes to hours after the start of the exercise. During a typical episode an average of eight symptoms were observed, most frequently affecting the skin (pruritus, angiooedema, erythema and urticaria), dyspnoea and gastrointestinal manifestations. Syncope occurred in nine patients: before they lost consciousness they noted at least two prodromal symptoms. The most common co-factors were humid-warm weather, severe sweating and eating certain foods shortly before the exercise. Prophylactic measures were quite different between individuals. CONCLUSION: Providing detailed information on how to avoid possible cofactors and manage prodromal symptoms should be at the forefront of looking after such patients, most of whom lead a rather active life.

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Adolescent Adult Age Distribution Anaphylaxis Child Exercise Female Humans Male Middle Aged Sex Distribution Time Factors Urticaria English Abstract Journal Article

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R von Vigier, A L Sheffer, W J Pichler. 1995-10-13. [Exercise-induced urticaria and anaphylaxis].. https://doi.org/10.1055/s-2008-1055487

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