Reproducible, exercise-induced anaphylactic reactions occur in some pa
tients only after certain foods have been eaten before exercise. We de
scribe a patient in whom hazelnuts were a triggering factor for exerci
se-induced anaphylaxis. Skin tests and RAST were positive for nuts and
grass and weed pollen. The exercise challenge test after hazelnut ing
estion was positive. Food hypersensitivity should be investigated in a
ll cases of exercise-induced anaphylaxis.