Exercise induced anaphylaxis is a rare disease that needs thorough management, because it is associated with life-threatening anaphylactic reactions. Establishing the diagnosis is difficult, but accurate medical history should be the cornerstone of the diagnosis. Attention should be paid to the provoking factors – food, temperature and drugs. It is important to educate the patient and healthcare workers about the disease to come up with clear management strategies for this type of patients. Early administration of epinephrine is crucial and plans should be designed to prevent following episodes.