Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Sep 3:9:186.
doi: 10.1186/s13256-015-0669-6.

Food-dependent exercise-induced anaphylaxis to chickpea in a 17-year-old female: a case report

Hannah Roberts  1   2 , Moshe Ben-Shoshan  3   4
Affiliations
Case Reports

Food-dependent exercise-induced anaphylaxis to chickpea in a 17-year-old female: a case report

Hannah Roberts et al. J Med Case Rep. .

Abstract

Introduction: Food-dependent exercise-induced anaphylaxis is a subtype of anaphylaxis and, although rare, it is an important condition to be familiar with as it can ultimately lead to death.

Case presentation: We present a case of food-dependent exercise-induced anaphylaxis in a 17-year-old white girl due to chickpea. She had a history of anaphylaxis after eating crackers and hummus before exercising. Skin prick testing and serum-specific immunoglobulin E level confirmed chickpea to be the causative allergen.

Conclusions: This case demonstrates the challenge in identifying specific causative food allergens when foods are eaten in combination, when the food is processed, and when cross-reactivity is possible. These challenges add complexity to a condition that is already rare and unfamiliar to some health care providers. We hope that this case will serve as an important reminder that although rare, food-dependent exercise-induced anaphylaxis exists and making a diagnosis can lead to life-saving preventative strategies. As legumes are not a common food associated with food-dependent exercise-induced anaphylaxis, this will add to our current knowledge base in the field of allergy.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Results of skin prick testing. From top, hummus (H) 7×15mm (wheal/erythema), cracker (B) negative, soy (S) 4×6mm, chickpea (CP) 7×15mm, and lastly histamine positive control (+) 5×10mm
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Sampson HA, Munoz-Furlong A, Campbell RL, Adkinson NF, Jr, Bock SA, Branum A, et al. Second symposium on the definition and management of anaphylaxis: summary report – Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network Symposium. Ann Emerg Med. 2006;47:373–80. doi: 10.1016/j.annemergmed.2006.01.018. - DOI - PubMed
    1. Ben-Shoshan M, Clarke AE. Anaphylaxis: past, present, and future. Allergy. 2011;66:1–14. doi: 10.1111/j.1398-9995.2010.02422.x. - DOI - PubMed
    1. Kim H, Fischer D. Anaphylaxis. Allergy Asthma Clin Immunol. 2011;7(Suppl 1):S6. doi: 10.1186/1710-1492-7-S1-S6. - DOI - PMC - PubMed
    1. Wood RA, Camargo CA, Jr, Lieberman P, Sampson HA, Schwartz LB, Zitt M, et al. Anaphylaxis in America: the prevalence and characteristics of anaphylaxis in the United States. J Allergy Clin Immunol. 2014;133(2):461–7. doi: 10.1016/j.jaci.2013.08.016. - DOI - PubMed
    1. Kleiman J, Ben-Shoshan M. Food-dependent exercise-induced anaphylaxis with negative allergy testing. BMJ Case Rep. 2014 - PMC - PubMed

Publication types

Substances