A Case of Tooth Extraction in a Patient with Food-Dependent Exercise Induced Anaphylaxis

Satoshi Fukuzawa; Kenji Yamagata; Takumi Nishizawa; Fumihiko Uchida; Naomi Ishibashi-Kanno; Hiroki Bukawa

doi:10.1007/s12663-022-01731-4

A Case of Tooth Extraction in a Patient with Food-Dependent Exercise Induced Anaphylaxis

J Maxillofac Oral Surg. 2023 Mar;22(1):198-200. doi: 10.1007/s12663-022-01731-4. Epub 2022 May 19.

Authors

Satoshi Fukuzawa¹, Kenji Yamagata¹, Takumi Nishizawa¹, Fumihiko Uchida¹, Naomi Ishibashi-Kanno¹, Hiroki Bukawa¹

Affiliation

¹ Department of Oral and Maxillofacial Surgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki 305-8575 Japan.

Abstract

A 29-year-old Japanese man with food-dependent exercise-induced anaphylaxis (FDEIA) underwent tooth extraction under general anesthesia. FDEIA is a rare condition in which anaphylaxis occurs due to exercise load or oral administration of NSAIDs after ingestion of allergens. Wheat is often the cause in FEDIA, defined as wheat-dependent exercise-induced anaphylaxis (WDEIA). It is an allergy that is not well known in the dental field. Patients may ingest the causative food on a regular basis because they do not develop without factors such as exercise. Post extraction period was uneventful as the patient was instructed not to ingest wheat before the treatment or while he was taking NSAIDs. We were able to safely extract teeth without causing anaphylaxis.

Keywords: Food dependent exercise induced anaphylaxis; NSAIDs; Tooth extraction; Wheat dependent exercise induced anaphylaxis.

Publication types

Case Reports