Pearls and pitfalls: Cold-induced urticaria
Autor: | Taylor A. Banks, David C Mari |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
Allergy medicine.medical_specialty Epinephrine Urticaria genetic structures Histamine Antagonists MEDLINE Omalizumab 01 natural sciences Young Adult 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Anti-Allergic Agents medicine Humans Immunology and Allergy Sympathomimetics 0101 mathematics Angioedema business.industry 010102 general mathematics Disease Management Cold-induced urticaria Sequela General Medicine medicine.disease Rhinitis Allergic Dermatology Cryoglobulinemia Asthma Cold Temperature nervous system 030228 respiratory system Desensitization Immunologic Female Differential diagnosis medicine.symptom business Anaphylaxis |
Zdroj: | Allergy and Asthma Proceedings. 41:301-304 |
ISSN: | 1088-5412 |
DOI: | 10.2500/aap.2020.41.200033 |
Popis: | Background: Cold-induced urticaria can take place either due to direct cold exposure, cryoglobulinemia, or genetic component (such as cryopyrin-associated periodic syndrome), which leads to the rapid onset of urticaria and/or angioedema. It is more common in younger patients and more likely to affect females compared with males. Objective: To increase awareness of such systemic reactions of anaphylaxis and provide a focused review of the differential diagnosis, underlying mechanisms, broad workup, and management of this disease process for allergy/immunology fellows, residents, general physicians, and general practitioners. Methods: Pertinent information was included from the patient's clinical course. Also, a review of the available literature to include additional references that were obtained by using the works cited in the most up-to-date reviews was completed. Results: A case of a patient with cold-induced urticaria with common sequela was presented, followed by a discussion of the pathophysiology, diagnosis and its differential diagnosis, workup, and management. Conclusion: Cold-induced urticaria is a complex disease with several different catalysts. Providers should be aware of the different forms of cold-induced urticaria and recognize the risk for anaphylaxis in this patient population. Pearls and pitfalls of the diagnosis and management are provided. |
Databáze: | OpenAIRE |
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