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We report the case
of a 17-year-old boy
who experienced 4
episodes of
exercise-induced
anaphylactic
reaction after
ingestion of lentil
and 2 episodes of
anaphylaxis
following ingestion
of chickpea. His
medical history
revealed that he had
allergic rhinitis
with positive
results after skin
prick tests (SPT)
with mites. His SPTs
and specific
immunoglobulin E
antibody testing
with lentil and
chickpea were
positive. Oral
challenge with
chickpea was not
performed due to
patient refusal.
Treadmill exercise
challenge tests in
the fasting state
and 1 hour after a
meal not containing
lentil were
negative. However,
an exercise
challenge test 1
hour after intake of
lentil soup resulted
in pruritus of the
hands, forearms,
shoulders, and back,
urticarial lesions
on the face and
shoulders, mild
angioedema of the
lips, and mild
hoarseness and
cough. To our
knowledge, this is
the first case of
food-dependent
exercise-induced
anaphylaxis due to
lentil.
Key words:
Food-dependent
exercise-induced
anaphylaxis. Lentil.
Anaphylaxis.
Chickpea.
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