IGHE and allergic disease: Specific IgE tests, using ImmunoCAP were also performed.<h4>Conclusions</h4>Dust mite ingestion-associated, exercise-induced anaphylaxis may be misdiagnosed as wheat-dependent exercise-induced anaphylaxis and should be suspected in patients with anaphylaxis linked to food intake and exercise, but who have no apparent evidence to the index food ingredients on allergy workup.