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Episode 19: Allergic to Work?
Archived series ("HTTP Redirect" status)
Replaced by: CritMedic
When? This feed was archived on May 01, 2018 14:56 (). Last successful fetch was on April 28, 2018 08:08 ()
Why? HTTP Redirect status. The feed permanently redirected to another series.
What now? If you were subscribed to this series when it was replaced, you will now be subscribed to the replacement series. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.
Manage episode 180930583 series 1220119
Can you be allergic to work? In this episode, we’ll discuss the concept of Exercise Induced Anaphylaxis (EIA) and Food Dependent Exercise Induced Anaphylaxis (FDEIA).
Case Scenario:
During a 5K race standby, you arrive to find a 24 YOF lying on the side of the track against a concrete barrier. She is conscious, but a little bit lethargic. She is complaining of a sudden onset difficulty breathing during the run that worsened. Now she feels like her throat is closing off and she feels like she can’t breathe. Only medical history is an amalgam based dental filling 2 months ago. Only medications include oral birth control pills and an NSAID last night and this morning due to some soreness from some pre-race workout and training.
On physical exam, you note her skin is flush some itching. You hear expiratory wheezing on auscultation.
Vital signs:
Heart Rate – 137
Blood Pressure – 80/50
SpO2 – 90%
She denies any allergies. Denies any new foods or medication. Last oral intake was corn on the cob at the pre-race BBQ along with chili (that’s chili WITH beans, for you Texans). No possibility of pregnancy — LMP is now. No new known exposures. No new clothing. No new laundry detergent. No insect bites or stings. In short, she’s had NO allergen exposure.
What’s going on?
Show Notes
- Barg, W., Medrala, W., & Wolanczyk-Medrala, A. (2010). Exercise-Induced Anaphylaxis: An Update on Diagnosis and Treatment. Current Allergy and Asthma Reports, 11(1), 45-51. doi:10.1007/s11882-010-0150-y
- Pravettoni, V., & Incorvaia, C. (2016). Diagnosis of exercise-induced anaphylaxis: current insights. Journal of Asthma and Allergy, Volume 9, 191-198. doi:10.2147/jaa.s109105
- Ansley, L., Bonini, M., Delgado, L., Giacco, S. D., Toit, G. D., Khaitov, M., . . . Robson-Ansley, P. J. (2015). Pathophysiological mechanisms of exercise-induced anaphylaxis: an EAACI position statement. Allergy, 70(10), 1212-1221. doi:10.1111/all.12677
22 episodes
Archived series ("HTTP Redirect" status)
Replaced by: CritMedic
When? This feed was archived on May 01, 2018 14:56 (). Last successful fetch was on April 28, 2018 08:08 ()
Why? HTTP Redirect status. The feed permanently redirected to another series.
What now? If you were subscribed to this series when it was replaced, you will now be subscribed to the replacement series. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.
Manage episode 180930583 series 1220119
Can you be allergic to work? In this episode, we’ll discuss the concept of Exercise Induced Anaphylaxis (EIA) and Food Dependent Exercise Induced Anaphylaxis (FDEIA).
Case Scenario:
During a 5K race standby, you arrive to find a 24 YOF lying on the side of the track against a concrete barrier. She is conscious, but a little bit lethargic. She is complaining of a sudden onset difficulty breathing during the run that worsened. Now she feels like her throat is closing off and she feels like she can’t breathe. Only medical history is an amalgam based dental filling 2 months ago. Only medications include oral birth control pills and an NSAID last night and this morning due to some soreness from some pre-race workout and training.
On physical exam, you note her skin is flush some itching. You hear expiratory wheezing on auscultation.
Vital signs:
Heart Rate – 137
Blood Pressure – 80/50
SpO2 – 90%
She denies any allergies. Denies any new foods or medication. Last oral intake was corn on the cob at the pre-race BBQ along with chili (that’s chili WITH beans, for you Texans). No possibility of pregnancy — LMP is now. No new known exposures. No new clothing. No new laundry detergent. No insect bites or stings. In short, she’s had NO allergen exposure.
What’s going on?
Show Notes
- Barg, W., Medrala, W., & Wolanczyk-Medrala, A. (2010). Exercise-Induced Anaphylaxis: An Update on Diagnosis and Treatment. Current Allergy and Asthma Reports, 11(1), 45-51. doi:10.1007/s11882-010-0150-y
- Pravettoni, V., & Incorvaia, C. (2016). Diagnosis of exercise-induced anaphylaxis: current insights. Journal of Asthma and Allergy, Volume 9, 191-198. doi:10.2147/jaa.s109105
- Ansley, L., Bonini, M., Delgado, L., Giacco, S. D., Toit, G. D., Khaitov, M., . . . Robson-Ansley, P. J. (2015). Pathophysiological mechanisms of exercise-induced anaphylaxis: an EAACI position statement. Allergy, 70(10), 1212-1221. doi:10.1111/all.12677
22 episodes
All episodes
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