• Pediatric emergency care · Jan 2014

    Review Case Reports

    Idiopathic cold urticaria and anaphylaxis.

    • Sakine Işk, Zeynep Arkan-Ayyldz, Sule Caglayan Sozmen, Özkan Karaman, and Nevin Uzuner.
    • From the Department of Pediatric Allergy, Dokuz Eylul University Hospital, Izmir, Turkey.
    • Pediatr Emerg Care. 2014 Jan 1;30(1):38-9.

    AbstractCold urticaria (CU) is a subtype of physical urticaria characterized by the development of urticaria and angioedema after cold exposure. Symptoms typically occur minutes after skin exposure to cold air, liquids, and objects. Most common method to confirm the diagnosis of CU is through ice cube challenge test, but 20% of patients with CU have negative ice cube challenge test results. The greatest risk with this kind of urticaria is the development of systemic reaction resulting in a hemodynamic collapse during generalized cold exposure. We report a case of a patient who developed CU and anaphylaxis during swimming and diving in the sea.

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