Thai J Pediatr 2011; 50: 304-310.

Food-dependent, exercise-induced anaphylaxis (FDEIA) is a special form of anaphylaxis which is characterized by anaphylactic symptomsafter exercise which is temporally associated with ingestion of specific food.  Food-intake of exercise alone does not cause anaphylaxis.  We describe a case of FDEIA due to ingestion of wheat in a 12-year-old boy.  A three-day challenge protocol of wheat-exercise challenge test was done to confirm the diagnosis.  Avoidance of exercise 4 hours after consuming causative food is the mainstay of treatment.