A Case of Combined Cholinergic and Cold Urticaria

Cheon, Hong-Woo; Han, Su-Jung; Yeo, So-Jeong; Sun-hyo, Lee; Kim, Min Jin; Kim, Shin-Hee; Jang, An‐Soo

doi:10.3904/kjim.2012.27.4.478

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Workout-associated sweating and a raised body temperature increase the likelihood of superficial fungal infections and cholinergic urticaria, as found in sixteen and fourteen patients, respectively, in our study [25,26].…”

Section: Discussionsupporting

confidence: 70%

Dermatoses among snow skiers in North India

Rather¹,

Rashid²

2022

Our Dermatol Online

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Background: Snow skiers are directly exposed to a variety of extreme environmental conditions, which may lead to numerous physiological and pathological changes in the skin, and potentially increased chances of various specific and non-specific skin diseases. Although there are studies on skin diseases caused by exposure to cold and high altitudes, yet those on snow skiers are scarce as the study population is small. Objective: This study was undertaken to observe various dermatoses existing exclusively in snow skiers. Methods: It was a descriptive, cross-sectional, community-based study conducted at the world-famous ski resort Gulmarg Kashmir in North India. The initial questionnaire-based assessment and the subsequent examination of those exhibiting skin involvement were undertaken by visiting places of accommodation for snow skiers as well as on-spot visits to skiing slopes. Result: The most common dermatological manifestations in our study were dryness (xerosis) and its related aftereffects such as pruritus and chapping of the lips, followed by UV-related skin damage such as whole-face tanning, various types of infections and infestations, and endogenous eczema, including seborrheic and xerotic eczema. Direct cold-related injuries such as perniosis and various forms of urticaria were also common presentations. Conclusion: Snow skiers are especially susceptible to a variety of dermatoses because of exposure to cold conditions and direct contact with the snow. Proper protective measures against cold and snow and awareness about preventive strategies may decrease the chances of snow skiers developing various dermatoses, thereby reducing morbidity and work and economic loss.

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Section: Discussionsupporting

confidence: 70%

Dermatoses among snow skiers in North India

Rather¹,

Rashid²

2022

Our Dermatol Online

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“…The possibility of cold-induced cholinergic urticaria can be considered in this case as cryotherapy was applied post-exercise, following which the wheals developed. Since the cold stimulation test is characteristically negative in cold-induced cholinergic urticaria [ 12 ], the diagnosis of atypical presentation of cold contact urticaria mimicking cholinergic urticaria was considered in our case as the cold stimulation test was positive. Similarly, localized cold reflex urticaria was not considered as the punctate pruritic wheals usually occur at 5–8cm adjacent to the site of cold stimulation test rather than at the site of contact with the ice as observed in our case.…”

Section: Discussionmentioning

confidence: 99%

“…The atypical presentation of cold contact urticaria mimicking cholinergic urticaria has not been reported so far. However, the coexistence of multiple inducible urticarias in the same patient with the occurrence of a cholinergic type of urticaria following exercise following a cold environment has been reported [ 10 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Report of a Case of Cold Urticaria Following Cryotherapy – Need for Screening for Untoward Effects of Cryotherapy in Physical Therapy Clinical Practice

Jagadevan¹,

Mohanakrishnan²,

Balaji³

et al. 2021

JOCR

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Introduction:Musculoskeletal rehabilitation is one of the frontline domains in physical therapy practice. In most countries, physical therapists prefer independent practice with referrals from general practitioners and orthopedic surgeons. Under these circumstances, the physical therapist may be the first contact professional handling these individuals who may not have adequate medical records with their personal medical history. Cryotherapy for pain relief could be the first choice of pain management opted by a musculoskeletal therapist. That is when both the therapist and the patient have to be aware of the undesirable effects of cryotherapy application and its potential local and systemic complications. The outcome of this paper could be an initiative for a standardized screening process to be incorporated into physical therapy practice. Clinical Findings:A 30-year-old man with left knee pain who underwent exercise therapy in the physiotherapy unit of a tertiary care center developed erythematous rashes around the knee following ice application. It was noted that the patient was not aware of the same in the past. The patient was attended by a dermatologist, and a diagnosis of cold urticaria was made following confirmation with cold stimulation test. Conclusion:From this study, it may be concluded that the awareness of cold-induced urticaria has to be emphasized on both patients and health care professionals. A simple screening protocol should be made mandatory in orthopedic physical therapy practice, which would suffice this purpose. Keywords: Urticaria, cryotherapy, Physical therapy

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“…It is especially important to appropriately manage the combination of inducible forms 17 28 29. While the management of cold-induced urticaria involves protection against cold exposure and use of warm clothing, these exact measures may induce cholinergic urticaria.…”

Section: Discussionmentioning

confidence: 99%