Exercise-induced hypersensitivity syndromes in recreational and competitive athletes: a PRACTALL consensus report (what the general practitioner should know about sports and allergy)

• Published in: Allergy (Copenhagen) Vol. 63; no. 8; pp. 953 - 961
• Main Authors: Schwartz, L.B, Delgado, L, Craig, T, Bonini, S, Carlsen, K.H, Casale, T.B, Del Giacco, S, Drobnic, F, van Wijk, R.G, Ferrer, M, Haahtela, T, Henderson, W.R, Israel, E, Lötvall, J, Moreira, A, Papadopoulos, N.G, Randolph, C.C, Romano, A, Weiler, J.M
• Format: Journal Article
• Language: English
• Published: Oxford, UK Oxford, UK : Blackwell Publishing Ltd 01.08.2008; Blackwell Publishing Ltd; Blackwell
• Subjects: airway inflammation; Allergies; anaphylaxis; Anaphylaxis - etiology; Asthma; Asthma, Exercise-Induced - etiology; Athletes; Biological and medical sciences; bronchial hyperresponsiveness; cross-country skiers; daytime somnolence; Dermatology; eaaci/galen/edf guideline; Exercise; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Humans; Hypersensitivity - diagnosis; Hypersensitivity - etiology; Hypersensitivity - therapy; idiopathic anaphylaxis; Immunologi inom det medicinska området; Immunology in the medical area; induced anaphylaxis; induced asthma; induced bronchoconstriction; Medical sciences; rhinitis; Rhinitis - etiology; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Syndrome; urticaria; Urticaria - etiology; venom immunotherapy; Competition; Physical exercise; Allergy; Skin disease; Nose disease; Rhinitis; exercise; Athlete; Sport; Anaphylaxis; Immunology; s: anaphylaxis; ENT disease; Bronchus disease; Obstructive pulmonary disease; Lung disease; Immunopathology; Respiratory disease; Dermatology; General practitioner; Urticaria; Hypersensitivity; athletes; Consensus; Asthma
• ISSN: 0105-4538; 1398-9995
• DOI: 10.1111/j.1398-9995.2008.01802.x

Exercise-induced (EI) hypersensitivity disorders are significant problems for both recreational and competitive athletes. These include EI-asthma, EI-bronchoconstriction, EI-rhinitis, EI-anaphylaxis and EI-urticaria. A group of experts from the European Academy of Allergology and Clinical Immunology and the American Academy of Allergy Asthma and Immunology met to discuss the pathogenesis of these disorders and how to diagnose and treat them, and then to develop a consensus report. Key words (exercise with asthma, bronchoconstriction, rhinitis, urticaria or anaphylaxis) were used to search Medline, the Cochrane database and related websites through February 2008 to obtain pertinent information which, along with personal reference databases and institutional experience with these disorders, were used to develop this report. The goal is to provide physicians with guidance in the diagnosis, understanding and management of EI-hypersensitivity disorders to enable their patients to safely return to exercise-related activities.