A 36 yr old pregnant lady first noticed rashes and hives on her arm while dancing after a meal which resolved on topical application of ice, diagnosed to have exercise induced anaphylaxis after a few more similar episodes. She has been prescribed an EPI pen for use as essential with advice to avoid intensive physical activities. With pregnancy known to cause considerable stress, elective Cessarean section was planned. Administration of anti-histaminics, hydrocortisone and ranitidine as pre-medication and avoidance of intrathecal opioids for the regional anesthesia for CS to reduce the chances of mast cell degranulation to provoke anaphylaxis further ensured safe management of this obstetric case.

Exercise induced anaphylaxis (EIA) and pregnancy