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小麦依赖-运动诱发的过敏性休克1例

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16岁女性患者,进食面包不久后晨跑突发晕厥15 min,全身出现大面积水肿性红斑和风团.实验室及辅助检查均无明显异常.近3年内反复多次出现此类似情况.诊断:小麦依赖-运动诱发的过敏性休克.给予抗过敏、抗休克、吸氧、补钾等对症处理,患者逐渐恢复正常.嘱患者避免食用小麦类制品食物或食用后6h内避免剧烈运动、饮酒、口服非甾体类抗炎药,3个月后随访,遵医嘱无复发.
A case of wheat-dependent exercise-induced anaphylactic shock
A 16-year-old female patient experienced sudden syncope lasting 15 minutes shortly after eating bread and going for a morning jog.Dermatological examination showed large areas of edematous erythema and wheals across her body.There were no obvious abnormalities in laboratory tests and auxiliary examinations.This similar situation has occurred repeatedly in the past three years.The patient was diagnosed as wheat-dependent exercise-induced anaphylactic shock.The patient was administered anti-allergy,anti-shock,and oxygen inhalation treatments,as well as potassium supplementation and other symptomatic interventions,after which the patient gradually returned to normal.The patient was advised to avoid wheat-containing products,drinking alcohol,nonsteroidal anti-inflammatory drugs,and refrain from strenuous exercise within 6 hours after ingestion.After 3 months of follow-up,there was no recurrence according to medical advice.

Food allergyWheat-dependent exercise-induced anaphylaxis

周鑫、晏洪波、晏子恢、陈小强

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430070 武汉,中部战区总医院

湖北省罗田县第二人民医院

食物过敏 小麦依赖运动诱发的过敏反应

2024

实用皮肤病学杂志
中国人民解放军北京军区总医院

实用皮肤病学杂志

CSTPCD
影响因子:0.637
ISSN:1674-1293
年,卷(期):2024.17(6)