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13 mar 2023 · Cold urticaria is a chronic condition causing episodic symptoms of cold-induced wheals or angioedema in response to direct or indirect exposure to cold temperatures. Whereas symptoms of cold urticaria are typically benign and self-limiting, severe systemic anaphylactic reactions are possible.
MANAGEMENT OF COLD URTICARIA SYNDROMES. 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.
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.
Guidelines for cold urticaria management, established by the Centre of Evidence of Dermatology and the Urticaria Group of the French Society of Dermatology. Br J Dermatol,. 2023 Nov 24:ljad447. doi: 10.1093/bjd/ljad447 Online ahead of print.
Chronic urticaria (CU) is a common disease which represents a considerable burden for many patients. The current urticaria guideline describes the evidence-based diagnosis and treatment of CU. In addition, however, questions often arise in everyday practice that are not addressed by the guideline.
Guidelines for management of patients with urticaria (Figure 2,3)2,10-15 1.Treating the underlying causes: If the cause can be identified, eliminate the cause. For example, in drug-induced urticaria, discontinuation of the causative drug will resolve the hives. Avoid aggravating factors, such as consumption of alcoholic beverages. 2.
Cold urticaria is a hypersensitivity to cold exposure (eg, wind, freezer compartments, cold water) resulting in histamine release. It usually presents as localized redness, burning, pruritus, and urticaria in the exposed areas, but may progress to a generalized systemic reaction, shock, and death.
