On admission, he was found to be hypotensive with hypoxemia and was revived with the administration of intravenous fluids, hydrocortisone, oxygen, and anti-histamines. [ijpd.in]

She was instructed to avoid rigorous exercise in hot weather or in remote areas, or exercising without a partner and a cellphone. A tentative diagnosis of cholinergic urticaria, which may masquerade as exercise-induced anaphylaxis, was made. [consultqd.clevelandclinic.org]

Indian J Paediatr Dermatol 2018;19:177-8 Sir, A 17-year-old boy presented to us with a history of developing itchy wheals all over the body during vigorous game activity which was followed within few minutes by stridor, breathlessness, and loss of consciousness [ijpd.in]

In fully established attacks, symptoms included choking, respiratory stridor, GI colic, nausea, and vomiting. Late sequelae included frontal headaches that persisted for 24-72 hours. (See Clinical Presentation.) [emedicine.medscape.com]

If the event progresses, fully developed EIA includes gastrointestinal symptoms with abdominal cramps, nausea, and vomiting, as well as symptoms of upper airway obstruction with dyspnea, stridor, and a feeling of choking. [ncbi.nlm.nih.gov]

A factsheet from the Anaphylaxis Campaign in the UK says that mild symptoms of EIAn can include widespread flushing of the skin, hives, swelling of the skin anywhere on the body, swelling of the lips, abdominal pain, nausea, and vomiting. [foodallergycanada.ca]

He denied any associated chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea or wheezing, with his episodes. His past medical history of nonspecific allergic rhinitis to dust was notable. [jpharmacol.com]

This patient also developed anaphylactic shock during physical exercise, that was accompanied by urticaria on his chest and arms, abdominal pain, vomiting and diarrhea. [njmonline.nl]

pain. 38 Castagna J...Pelletier F 31311236 2019 9 Idiopathic anaphylaxis. 38 Bilo MB...Krishna MT 31002196 2019 10 Food-dependent exercise-induced anaphylaxis. 38 Foong RX...du Toit G 30893086 2019 11 [A case of freshwater fish-dependent exercise-induced [malacards.org]

Case Presentation The patient was jogging when he developed an urticarial rash of the trunk and bilateral upper and lower extremities, nausea, abdominal pain, angioedema of the tongue and face, and cardiovascular instability. [cureus.com]

In fully established attacks, symptoms included choking, respiratory stridor, GI colic, nausea, and vomiting. Late sequelae included frontal headaches that persisted for 24-72 hours. (See Clinical Presentation.) [emedicine.medscape.com]

However, symptoms suggesting vascular compromise, headache (28%), gastrointestinal colic and nausea, upper respiratory obstruction, and even dysphagia, were also described. [7] EIA was often diagnosed on the basis of patient history. [jpharmacol.com]

(%) Symptom Wade et al. [5] Shadick et al. [6] Itching 92 92 Urticaria 83 86 Angioedema 78 72 Flushing 75 70 Shortness of breath 59 51 Dysphagia - 34 Chest tightness - 33 Loss of consciousness 32 32 Diaphoresis 43 32 Headache 30 28 Nausea/diarrhoea/ colic [en.wikipedia.org]

In 1980, Sheffer and Austen [ 9 ] presented a series of 16 patients in whom exertion elicited a variety of anaphylactic symptoms, including generalized urticaria, pruritus, angioedema, gastrointestinal colic, and hypotension. [ncbi.nlm.nih.gov]

He denied any associated chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea or wheezing, with his episodes. His past medical history of nonspecific allergic rhinitis to dust was notable. [jpharmacol.com]

Finally, widespread symptoms can occur, including gastrointestinal issues like nausea and vomiting, cardiovascular and pulmonary issues that can make it hard to breathe or cause chest pain, and neurological issues, which can lead to loss of consciousness [premierallergyohio.com]

The cases also suggest that atopic disorders commonly associated with the immune system, such as asthma, eczema, or rhinitis, are often found in those who suffer from exercise-induced anaphylaxis and that jogging is the most common exercise type to lead [premierallergyohio.com]

He does not have any known allergies to foods or medications, nor does he have any history of eczema or asthma. He is nonsmoker and nonalcoholic. [mjdrdypu.org]

Soon pruritic skin lesions developed, which started on his face and quickly increased in both number and size and became generalized, with development of urticaria. He started having a headache simultaneously. [jpharmacol.com]

Cold Urticaria Skin lesions are similar to those in EIA. They start in places exposed to cold, usually on the hands, face, and neck, and promptly take up the whole body. [ncbi.nlm.nih.gov]

Discussion High-quality evidence supports administration of omalizumab for patients with antihistamine-resistant chronic urticaria/angioedema. [consultqd.clevelandclinic.org]

He started having a headache simultaneously. The patient immediately discontinued physical exercise at the first sign of pruritus and malaise, and therefore, the symptoms did not progress, but persisted till he was medicated [Figure 1]. [jpharmacol.com]

Late sequelae included frontal headaches that persisted for 24-72 hours. (See Clinical Presentation.) [emedicine.medscape.com]

Signs and symptoms typically include: • Diffuse redness and warmth of the skin • Widespread itchiness • Hives • Sudden fatigue • Headache • Gastrointestinal symptoms: nausea, vomiting, diarrhea and abdominal cramping • Difficulty in breathing with the [sportsmedtoday.com]

Less frequently, exercise-induced anaphylaxis may be accompanied by gastrointestinal symptoms such as nausea, vomiting, abdominal cramping and diarrhoea, as well as syncope, dysphagia, chest tightness, sweating, choking, throat constriction, headache [dermnetnz.org]

Episode 3 (six days prior to evaluation): During high-intensity fitness training, she developed palmar/plantar tingling, throat tightness and tongue swelling. [consultqd.clevelandclinic.org]

Cutaneous examination revealed no urticarial lesions, and there was no dermatographia evident with light stroking. Skin testing was performed, and revealed no remarkable wheal/flare reactions to wheat or soy. [consultqd.clevelandclinic.org]