RESUMEN
Exercise-induced anaphylaxis (EIA) is a relatively rare condition but can be a diagnostic pitfall in daily practice. Leek allergy is extremely rare, and there have been no reports, to our knowledge, of leek-dependent EIA. Here, we report the first case of exercise- and leek-induced anaphylaxis. An 18-year-old woman presented with symptoms of anaphylaxis after exercise in the morning. Prick-to-prick tests for leek was 1+ and challenge test for heated leek was negative, but leek-dependent physical exertion challenge test evoked anaphylaxis. We diagnosed food-dependent EIA by some additional tests including immunoblotting assay with patient's serum. Leek allergy is an extremely rare condition, so careful interview and investigation of allergens is important to eliminate causative substances of anaphylaxis.
Asunto(s)
Alérgenos , Anafilaxia , Ejercicio Físico , Hipersensibilidad a los Alimentos , Humanos , Femenino , Anafilaxia/diagnóstico , Anafilaxia/etiología , Anafilaxia/inmunología , Adolescente , Hipersensibilidad a los Alimentos/diagnóstico , Hipersensibilidad a los Alimentos/inmunología , Hipersensibilidad a los Alimentos/etiología , Alérgenos/inmunología , Alérgenos/efectos adversos , Pruebas Cutáneas , Allium/inmunología , Allium/efectos adversos , Alergias Inducidas por el EjercicioRESUMEN
Recently, the heat stroke in the elderly who often remains at home during the day increases due to high temperatures in summer by urban heat island effect. We have examined how the elderly were influenced by the high summer temperatures. We explained the patients or the caregivers at home while showing the checklist of six items. In addition, we checked and interviewed time of visits, patients' room temperature, with or without air conditioning fan etc., and filled out their histories of summer heat. If some items of the checklist were not improved, we explained the care points again every time we visited. 10 people out of the 72 patients were identified as summer heat illness at home. We need to work together with medical cares and welfare services and the other organizations of each region.