A Case of Exercise-Induced Anaphylaxis Presenting with Lower Lid Angioedema.

You, Jung Ran; Kim, Min Hee; Sung, Youn Mi; Yang, Suk Woo

doi:2015.56.9.1459

J Korean Ophthalmol Soc > Volume 56(9); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(9):1459-1463.
DOI: https://doi.org/10.3341/jkos.2015.56.9.1459 Published online September 15, 2015.

A Case of Exercise-Induced Anaphylaxis Presenting with Lower Lid Angioedema.

Jung Ran You, Min Hee Kim, Youn Mi Sung, Suk Woo Yang

¹National Police Hospital, Seoul, Korea.
²Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net

아래눈꺼풀 혈관부종으로 발현된 운동 유발성 아나필락시스 1예

유정란¹⋅김민희²⋅성윤미²⋅양석우²

경찰병원¹, 가톨릭대학교 의과대학 서울성모병원 안과 및 시과학교실²

Received: 22 May 2015 • Revised: 15 June 2015 • Accepted: 14 August 2015

Abstract

PURPOSE
To describe a case of exercise-induced anaphylaxis presenting with lower lid angioedema. CASE SUMMARY: A 35-year-old female patient for the past 3 years experienced lower lid edema in her left eye after exercising. In the treadmill exercise test, sneezing, coughing, and lower lid edema in her left eye appeared 13 minutes after initiating exercise. Additionally, contrast-enhanced computed tomography scan revealed minimal soft tissue thickening of the left inferior periorbital subcutaneous area with subtle enhancement after exercise. The serum immunoglobulin E (IgE) test showed elevated total IgE levels. The patient was diagnosed with exercise-induced anaphylaxis based on the above results. We informed the patient on her trigger factors and possible symptoms and prescribed an oral antihistamine and steroid. CONCLUSIONS: In patients presenting with facial edema or eyelid edema after exercise, the possibility of exercise-induced anaphylaxis should be considered. In addition, we have to aware of possibility of complication such as airway obstruction or a life-threatening condition, and it is needed to prevent a recurrence of anaphylaxis by cooperating with other department.

Key Words: Angioedema;Exercise-induced anaphylaxis