Hi Grant,
I had a fire fighter with this who had previously believed they were allergic to poultry and had exercise induced anaphylaxis related to this.
Being a fire fighter working in potentially arduous conditions doing physical work this was obviously potentially very problematic. The FF had an episode of allergic response whilst working in heat and had to utilise their epipen.
We referred them to an allergy specialist who was very helpful and found out that they actually had exercise induced wheat allergy nothing to do with chickens. Advised to follow gluten free diet and also that was not true anaphylaxis and that would not need epipen.
The FF felt transformed by following the gluten free diet having realised that actually they had felt fatigued and had urticaria frequently but had not really noticed how bad they felt until it was resolved. They returned to full duties and no longer need the epipen. I have attached two weblinks which may be useful
http://www.aafp.org/afp/2001/1015/p1367.html
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020292/
Louise
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