Food dependant exercise induced @entity2021 a retrospective study from 2 @entity566 clinics in Colombo, XXXX Lanka.

@entity1 @entity851 @entity566 @entity909 @entity3595 @entity113 @entity3505 @entity551 @entity110 @entity2021
The aetiology of @entity2021 ranges from food, insect venom, drugs and various chemicals. Some individuals do not develop @entity2021 with the offending agent unless ingestion is related temporally to physical exertion, namely food dependent exercise induced @entity2021 (FDEIA). The foods implicated are @entity3505 , soya, peanut, milk and sea food. A retrospective study on @entity1 with FDEIA from two Allergy clinics in @entity3595 Lanka from 2011 to 2015 is reported. @entity1 were selected who fulfilled the following criteria: clinical diagnosis of @entity2021 according to the @entity566 ( @entity566 ) criteria, where the onset of symptoms was during exertion, within 4  h of ingesting a food, the ability to eat the implicated food independent of exercise, or exercise safely, if the food was not ingested in the preceding 4  h and an in vitro (ImmunoCap serum IgE to the food) or in vivo (skin prick test) test indicating evidence of sensitivity to the food. There were 19 @entity1 (12 males: 7 females). The ages ranged from 9 to 45 (mean 22.9, median 19  years). Eight @entity1 (42.1%) were in the 9-16 age group. Those below 16  years had a male:female ratio of 3:5, while for those above 16  years it was 9:2. @entity3505 was the only food implicated in FDEIA in all @entity1 and was confirmed by skin prick testing, or by ImmunoCap specific IgE to @entity3505 or     -  5 gliadin. All @entity1 had @entity110 , while 5/19 (26.3%) had @entity113 of the lips. Fifteen @entity1 (78.9%) had @entity851 of breath or wheezing, while 8 (42.1%) had lost consciousness. Nine @entity1 (47. 3%) had @entity551 . Fourteen (73.6%) of our @entity1 had severe reactions, with @entity909 or @entity551 , while 5 (26.3%) had symptoms related to the gastrointestinal tract. One @entity1 developed @entity2021 on two occasions following inhalation of ganja, a local cannabis derivative along with the ingestion of @entity3505 and exertion. @entity3505 is the main food implicated in FDEIA in @entity3595 Lanka. A local cannabis derivative, ganja has been implicated as a cofactor for the first time.
