[Cold urticaria: review of 12 cases].
Autor: | Santaolalla Montoya M; Servicio de Alergia Infantil. Hospital Gregorio Marañón. Madrid. España. marcelasm@terra.es, Martínez Molero MI, Santaolalla San Juana F, Baeza ML, Alonso Lebrero E, Zapatero Remón L |
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Jazyk: | Spanish; Castilian |
Zdroj: | Allergologia et immunopathologia [Allergol Immunopathol (Madr)] 2002 Sep-Oct; Vol. 30 (5), pp. 259-62. |
DOI: | 10.1016/s0301-0546(02)79134-9 |
Abstrakt: | Background: Cold urticaria is caused after exposition to cold air, water and food. It is the third more frequent physical urticaria in pediatric population. Methods and Results: We reviewed twelve patients, studied different characteristics and obtained following results: mean age is 12 years and 9 months and it is more frequent in female subjects, atopy is present in 67 % of patients, other physical urticaria are present in 25 % and there is not familial inheritance. 83 % of patients have localized and generalized symptoms. Cold stimulation test is positive in 92 %. Cryoglobulins and cold agglutinins are negative in 100 % of patients in which these tests were made. There is infectious disease in only two patients. Cetirizine was used in most of patients and it was successful in 70 %. Mean duration is 3 years and 6 months. Only patient with negative cold stimulation test remains without symptoms. Conclusions: Cold urticaria must be initially diagnosed by cold stimulation test and clinical history. Cetirizine is effective and cause less adverse effects than other antihistamines traditionally used. |
Databáze: | MEDLINE |
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