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Abstract
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 anaphy-laxis should be considered. In addition, we have to aware of possibility of complication such as airway obstruction or a life-threat-ening condition, and it is needed to prevent a recurrence of anaphylaxis by cooperating with other department.
References
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Figure 1
. Clinical photograph. (A) Clinical photograph at resting state. (B) Clinical photograph after exercise. Lowe lid edema in left eye (arrow).
Figure 2.
Computed tomography (CT) image. (A) Axial enhnaced CT scan reveals no significant abnormal lesion in the both lower lid area at resting state. (B) Axial enhanced CT scan reveals minimal soft tissue thickening of left inferior periorbital subcutaneous area with subtle enhancement (arrow) after exercise.
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