RT - Journal TY - JOUR A1 - Gupta, Manu A1 - Kajal, N A1 - Malhotra, Balbir A1 - Verma, Vishal T1 - Endurance exercise after orange ingestion anaphylaxis YR - 2016/5/1 JF - Medical Journal of Dr. D.Y. Patil University JO - Med J DY Patil Univ SP - 409 OP - 411 VO - 9 IS - 3 UL - https://journals.lww.com/mjdy/pages/default.aspx/article.asp?issn=0975-2870;year=2016;volume=9;issue=3;spage=409;epage=411;aulast=Gupta;t=5 DO - 10.4103/0975-2870.182526 N2 - Endurance exercise after orange ingestion cause anaphylaxis which is food-dependent exercise-induced anaphylaxis (FDEIA) which is a form of exercise-induced anaphylaxis. In this article, an individual develops symptoms such as flushing, itching, urticaria, angioedema, and wheezing after eating a food allergen and proceeds to exercise. Neither the food alone nor exercise alone is sufficient to induce a reaction. This case report describes a 36-year-old asthmatic male athlete who experienced nausea, vomiting, flushing, urticaria, and facial swelling while exercising in a gymnasium after eating oranges. Neither oranges alone nor exercise alone induced the reaction. Total avoidance of suspected food allergens would be ideal. Persons with FDEIA should keep at hand an emergency kit with antihistamines, injectable rapid action corticoids, and adrenaline. ER -