{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T08:41:26Z","timestamp":1761986486787},"reference-count":4,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T00:00:00Z","timestamp":1430092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Case<\/jats:title><jats:p>A 37\u2010year\u2010old woman was admitted to the emergency room with bilateral periorbital edema, hypotension, and expiratory stridor that developed 30\u2009min after starting to hang out washing following consumption of a jam bun. Despite no food allergies or similar episodes, she had recently developed facial wheals after bathing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome<\/jats:title><jats:p>She was immediately and repeatedly administered adrenalin and succinic acid hydrocortisone sodium for wheat\u2010dependent exercise\u2010induced anaphylaxis. On the third hospital day, radioallergosorbent testing reactions to wheat, gluten, and omega\u20105 gliadin were mildly positive; skin\u2010prick tests for hydrolyzed wheat protein and a face\u2010wash challenge were positive. Therefore, we diagnosed hydrolyzed wheat protein wheat\u2010dependent exercise\u2010induced anaphylaxis. Despite advising her about hyposensitization, the episode recurred and an adrenalin auto\u2010injector was prescribed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Differentiating hydrolyzed wheat protein wheat\u2010dependent exercise\u2010induced anaphylaxis from conventional wheat\u2010dependent exercise\u2010induced anaphylaxis is important owing to their severity and similarities. Each requires long\u2010term management of patients' etiological conditions by advising them about hyposensitization and prescribing adrenalin auto\u2010injectors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.114","type":"journal-article","created":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T10:11:25Z","timestamp":1430129485000},"page":"260-262","source":"Crossref","is-referenced-by-count":3,"title":["Diagnosis and long\u2010term management of hydrolyzed wheat protein wheat\u2010dependent exercise\u2010induced anaphylaxis"],"prefix":"10.1002","volume":"2","author":[{"given":"Jun\u2010ichi","family":"Hirata","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Kinki University Faculty of Medicine Nara Hospital  Nara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munehiko","family":"Ohya","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Kinki University Faculty of Medicine Nara Hospital  Nara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiji","family":"Kumon","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Kinki University Faculty of Medicine Nara Hospital  Nara Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdermsci.2007.03.004"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2332\/allergolint.12-RAI-0494"},{"key":"e_1_2_6_4_1","unstructured":"The Rheumatism and Allergy Information Center.Information concerning wheat allergy. [cited 3 Feb 2012]. Available from:http:\/\/www.allergy.go.jp\/allergy\/flour\/index.html."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2332\/allergolint.13-OA-0561"}],"container-title":["Acute Medicine &amp; Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fams2.114","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ams2.114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T12:22:57Z","timestamp":1695471777000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ams2.114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,27]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1002\/ams2.114"],"URL":"https:\/\/doi.org\/10.1002\/ams2.114","archive":["Portico"],"relation":{},"ISSN":["2052-8817","2052-8817"],"issn-type":[{"value":"2052-8817","type":"print"},{"value":"2052-8817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,27]]}}}