Acquired Cold Urticaria: An Under-reported Entity.

dc.contributor.authorRohatgi, Shaurya
dc.contributor.authorViradiya, Hitesh M
dc.contributor.authorJerajani, Hemangi Rajiv
dc.date.accessioned2016-09-14T07:10:39Z
dc.date.available2016-09-14T07:10:39Z
dc.date.issued2015-10
dc.description.abstractAcquired cold urticaria (ACU) is a subtype of physical urticaria which may be primary (idiopathic) or secondary to underlying infections or cryoproteins. In addition to complete history and thorough physical examination, the diagnosis is dependent on a positive cold stimulation time test (CSTT) which is the minimum time of cold contact stimulation required to induce an immediate coalescent wheal. Although idiopathic type is seen in 96% of the cases, it is important to rule out cryoprotein by an intricate yet simple test for cryoprecipitate. The identification of cold exposure as the likely trigger for urticaria is vital because systemic anaphylactic reactions are common in patients with cold urticaria, occurring in roughly 1 in 3 patients. In addition to preventive counseling and avoidance of critical cold exposure, H1-receptor antagonists form the first line of treatment. However resistant cases may require cyclosporine, danazol or omalizumab. No individual case reports of ACU appear in Indian literature. Therefore, the authors attempt to highlight the diagnostic work-up and therapeutic options for this not so uncommon cause of chronic urticaria.en_US
dc.identifier.citationRohatgi Shaurya, Viradiya Hitesh M, Jerajani Hemangi Rajiv. Acquired Cold Urticaria: An Under-reported Entity. MGM Journal of Medical Sciences. 2015 Oct-Dec; 2(4): 202-204.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/177180
dc.language.isoenen_US
dc.source.urihttps://www.jaypeejournals.com/eJournals/Abstract.aspx?id=8456&AID=35&num=7en_US
dc.subjectAcquired cold urticariaen_US
dc.subjectCold stimulation time testen_US
dc.subjectIce cube testen_US
dc.subjectPhysical urticariaen_US
dc.titleAcquired Cold Urticaria: An Under-reported Entity.en_US
dc.typeArticleen_US
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