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13 mar 2023 · The decision to treat cold urticaria syndromes depends primarily on the underlying etiology, severity of response to cold stimulus, and how greatly it affects quality of life, including the frequency of anticipated cold exposure.
Cold urticaria, or cold contact urticaria, is a subtype of physical urticaria . The physical urticarias are forms of inducible urticaria, in which there is a specific and definite stimulus that triggers the development of symptoms.
Our systematic review included 16 studies, 9 of which met the eligibility criteria for the meta-analysis. We analyzed the effects of treatments on critical temperature thresholds (CTTs) and critical stimulation time thresholds (CSTTs), as well as on rates of complete response and adverse events.
8 lis 2023 · Cold urticaria is characterized by pruritic wheals (hives) and/or angioedema due to cutaneous mast cell degranulation and their release of proinflammatory mediators after cold exposure of the skin. Triggers include skin contact with cold objects, cold liquids, and cold air.
• Delayed pressure urticaria (uncommon): Urticaria and/or painful swelling developing usually 30 minutes to 12 hours after a pressure stimulus and lasting several hours or days • Cold urticaria (uncommon): Urticaria develops within minutes after exposure to cold and lesions usually limited to exposed areas.
1 gru 2007 · The weals of physical urticaria usually last less than 1 h (except delayed pressure urticaria) whereas those of ordinary urticaria typically last from 2 to 24 h. Urticarial vasculitis should be sought by skin biopsy if weals last longer.
Recommended therapy algorithm for the treatment of chronic urticaria. wks weeks, mo months, CIndU chronic inducible urticaria. A second-generation non-sedating H1 antihistamine is the first treatment of choice.
