[Case of food-dependent exercise-induced XXXX diagnosed by the provocation test with cuttlefish after the pretreatment with 1.5 g of @entity117 ].

@entity1 @entity390 @entity1353 @entity566 @entity117 @entity56 @entity490 @entity36027 @entity110 @entity2021
A 29-year-old @entity1 had an episode of @entity110 at the age of 17 while exercising after eating fried cuttlefish. For years thereafter, she experienced several episodes of @entity110 after eating seafood. At the age of 29, she ate grilled seafood, including cuttlefish for supper after taking @entity36027 for lumbago. One hour later, she developed generalized @entity110 accompanied by @entity390 , @entity490 , swelling of the lips, and @entity1353 while walking; she was taken to a hospital. She was then referred to us for further examination of the etiology of her anaphylactic reactions. The level of specific IgE measured using Immuno CAP was negative for all kinds of foods, including cuttlefish. However, a skin prick test was positive for raw and cooked cuttlefish. Provocation tests were performed on admission by combining the intake of cuttlefish and @entity117 under the suspicion of cuttlefish @entity566 enhanced by nonsteroidal anti-inflammatory drugs and exercise. As a result, she developed no symptoms except for slight itching of the oral mucosa after eating 20 g or 100 g of cuttlefish with or without concomitant administration of 0.5 g of @entity117 . Finally, generalized @entity110 appeared after challenge with cuttlefish and 1.5 g of @entity117 . She was diagnosed with food-dependent exercise-induced @entity2021 (FDEIA) caused by cuttlefish. She has not developed @entity110 since she started to avoid eating cuttlefish. Our results indicated that in provocation tests for the diagnosis of FDEIA, @entity56 could not only be induced by food intake but could also be enhanced by @entity117 in a dose-dependent manner.
