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Exercise-induced anaphylaxis — UKMLA MCQ

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HardMedical Conditions in SportExercise-induced anaphylaxisUKMLA

A 25-year-old footballer develops urticaria, wheeze and dizziness after eating before training and then exercising. Symptoms improve with intramuscular adrenaline given by paramedics. What is the most likely diagnosis?

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Correct answer: A — Food-dependent exercise-induced anaphylaxis

Anaphylaxis involves systemic features such as airway, breathing or circulatory compromise. Food-dependent exercise-induced anaphylaxis occurs when food exposure and exercise combine as triggers. Management includes trigger identification, adrenaline autoinjectors and emergency action planning.

Reference: Resuscitation Council UK anaphylaxis; FSEM