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Int. Rev. Allergol. Clin. Immunol. Family Med., 2015, XXI/3: 134-137 Maximize

Int. Rev. Allergol. Clin. Immunol. Family Med., 2015, XXI/3: 134-137

Title: Cold urticaria

Authors: Cieślik K, Dziemieszonek P, Gomułka K, Wolańczyk-Mędrala A, Mędrala W.

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06-03-2015

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Cold urticaria


Cieślik K, Dziemieszonek P, Gomułka K, Wolańczyk-Mędrala A, Mędrala W.

Chair and Department of Internal Diseases, Geriatry and Allergology, Medical University of Wrocław, Poland

Int. Rev. Allergol. Clin. Immunol. Family Med., 2015; Vol. 21, No. 3, 134

Urticaria is a common problem in everyday medical practice. It is manifested by the occurrence of itchy bumps on the skin, resembling nettle. There are many agents that cause hives – including physical factors. Among the physical urticaria second most common after dermographic urticaria is cold urticaria. The most common form is idiopathic. The secondary form may be linked to many diseases, such as atopy, viral, bacterial, hypothyroidism, autoimmune diseases or cancer, and to the use of drugs. Urticaria can also occur secondary to cryoglobulinemia. Depending on the type, it can be accompanied with various disease states, inter alia, hematologic malignancies, viral hepatitis, connective tissue diseases, and glomerulonephritis. Clinically, in addition to the typical skin reactions systemic reaction with hypotension and loss of consciousness may also occur. Diagnosis is based on the anamnesis, laboratory results and positive reactions to provocation tests performed. In the treatment of cold urticaria it is important to avoid exposure to low temperatures. Chronic treatment with antihistamines should be applied. In refractory cases effective omalizumab therapy trials was taken.

Key words: cold urticaria, physical urticaria, ice cube test