Table 2 Clinical Characteristics of the patients
No | Age (years) | Sex | Food | Exertion | Latent period | Clinical | Skin prick test for wheat (Positive—wheal >3 mm diameter over negative control) | ImmunoCap results For wheat kUA/L (>0.35 positive) | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
Skin | Respiratory | Cardiovascular | GIT | ||||||||
01 | 11 | F | (1). Biscuit | Playing | 15 min | U | S | 8 mm | ND | ||
(2). 4 other episodes with wheat | |||||||||||
02 | 29 | M | (1). Chicken sandwich | Cycling | 60 min | Pr, U | S | LOC | AP | ND | IgE to wheat 12.1 |
(2). 1 other episode, trigger not certain | |||||||||||
03 | 25 | M | (1). Vegetable rotti* | Badminton | 30 min | U | LOC | ND | IgE to wheat 2.06 | ||
(2, 3). Pizza (x2) | Walking (x2) 1.5 and 2 km | U | |||||||||
(4). Noodles* | Dancing | 30 min | U | LOC, H | |||||||
04 | 10 | M | (1). Fishbun | Playing | 30 min | U | LOC, H, no Pulse | ND | IgE to wheat 2.33 | ||
05 | 20 | M | (1). Rotti* | Walking | 60 min | U, A | S | H | ND | IgE to wheat 5.6 | |
06 | 42 | F | (1). Rotti* | Cleaning | 15 min | U, A | W | AP | ND | IgE to wheat 2.8 | |
(2). Bread | Walking | 30 min | U, A | W | V | ||||||
07 | 12 | M | (1). Cream bun | Cycling, sweeping | 120 min | U | W | LOC | AP, V | ND | IgE to wheat 8.3 |
(2). Cake | Cycling 7 km | 60 min | U, A | ||||||||
(3–10). No food | X 7 playing | U | |||||||||
08 | 14 | F | (1). Rotti* | Volleyball | 15 min | U | S | LOC | 3 mm | IgE to wheat 0.07 | |
(2). Egg bun | Walking | 30 min | U | ||||||||
09 | 14 | F | (1). Sandwich | Football | 45 min | U, A | S | LOC | 5 mm | IgE to wheat 0.07 | |
(2). Pasta | Climbed 2 flights of steps on a rock | 30 min (after 5 min at rest) | U | ||||||||
10 | 11 | M | (1). Chinese roll, cake | Playing | 30 min | U | W | V, AP | 5 mm | ND | |
11 | 42 | M | (1). Rotti* | Walking | 30–45 min | U | S, W | ND | IgE to wheat 5.47 | ||
12 | 45 | M | (1). Noodles* | Walking rapidly and cleaning garden | 30 min | U | AP, V | 4 mm | ND | ||
13 | 16 | F | (1). No food | Swimming (x2) | U | 5 mm | IgE to wheat 11.4 | ||||
(1). Fish bun | Badminton | 20 min | U | S | Faintness, H | ||||||
14 | 19 | M | (1). Paratha* + Ganja (cannabis for the first time) | Walked 30 min | 30 min | U | S | Faintness BP unrecordable | IgE to ω − 5-gliadin 1.63 | ||
(2). Rotti* + ganja | Football | 30 min | U | S Bilateral rhonchi | Dizzines, reduced BP Anaphylactic shock | ||||||
15 | 18 | M | (1). Kotthu | Walked 1 km | 1 h (15 min after walk) | U | S | 3 mm | ND | ||
(2). Doughnut | Exercise | 4 h (1 hour after exertion) | U | S | D, H | ||||||
(3). Paratha* | Orbitract (1 km) | U | |||||||||
16 | 9 | F | (1). Noodles*, cake, biscuits, bread, roti x9 times) | No exertion | 30 min after ingestion | U | IgE wheat ω − 5-gliadin 35.7 | ||||
(2). Wafers, cookies | Played | 30 min | U | W, R | D, BP 80/58 mm Hg | ||||||
17 | 26 | M | (1). Fish bun | Cycling 3 km | 30 min | U | S | Faintness | IgE wheat ω − 5-gliadin 10.6 | ||
(2). Rice and curry. Later, wheat based pastry (Wadé*) after walk | Walked 100 yards. | 10 min after eating pastry | U | ||||||||
(3). Rice, coconut sambol, eggs (breakfast)—8 am | Household chores for 1 ½ h | 5 min after lunch | U | Blurring of vision, LOC | |||||||
Rice, fish, dhal (lunch) 12.30 pm | 2 h after breakfast (10–11.30 am) | S | |||||||||
18 | 44 | M | (1). Rotti* | Walked 1 km | 25 min | U | Faintness, H | IgE wheat ω − 5-gliadin 3.4 | |||
19 | 27 | F | (1). Rotti* | Walked 10 min up a hill | 90 min | U, A | P, H | IgE wheat ω − 5-gliadin 5.4 | |||
(2). Noodles* | Running 15 min | 45 min | U, A | W | H | ||||||
(3). Bun | No exertion | U | |||||||||
(4). Green gram | Gardening for 30 min | 120 min | U | W | H | ||||||
(5). Bun | Climbing hill for 10 min | 15 min | U | H, LOC | |||||||
(6). Sandwich | Exertion for 15 min | 60 min | U | P, H | |||||||
(7). Rice, carrot, potato, beans | Exertion | 240 min | U | P | |||||||
(8). Chinese roll | Exertion | 15 min | U | W | P, H, LOC | ||||||
(9). Roll | Exertion | U | LOC | ||||||||