Beyond Traditional Triggers: A Case of Anaphylaxis Triggered by Dance After Wheat Consumption

Background: Food-Dependent Exercise-Induced Anaphylaxis (FDEIA) is a type of anaphylaxis, that an individual does not exhibit symptoms solely from food consumption or exercise; however, the conjunction of these factors in a sensitized individual can precipitate anaphylaxis symptoms. Case presentation: This case report discusses a 20-year-old female student diagnosed FDEIA triggered by prolonged dancing following wheat ingestion. Despite no prior allergic reactions to wheat, she experienced anaphylaxis, marked by urticaria, wheeze, and hypotension, after consuming cake and fruit juice at a party. The patient's past history comprised asthma and sleep deprivation, which are significant variables that may diminish the threshold for anaphylaxis. The diagnosis was confirmed with IgE testing for ω5-gliadin, the principal allergen linked to wheat in FDEIA instances Conclusions: The paper underscores the need of identifying atypical triggers such as dancing and highlights the need for patient education and avoidance strategies to prevent future episodes.