cold urticaria 3,4 and is mentioned as a treatment to be considered in the most recent guidelines for the management of urticaria. 5 However, the risk of anaphylactic shock should be considered. This is confirmed by the data presented here where all patients treated with cold water baths experienced a distinct lowering of their temperature threshold. However, no patient was able to continue the treatment for more than several weeks or months due to a lack of motivation and sideeffects which apparently were rated higher than the impact of the disease on their lives.Cold baths remain an effective treatment of cold urticaria only for patients bothered by severe manifestation of their disease who are well informed about the procedure and risks and are prepared to comply with this time-consuming and subjectively unpleasant treatment. It may be performed as a single treatment or in combination with other therapeutic options.

No abstract

No abstract

No abstract