Cold-induced anaphylaxis triggered by drinking cold water
Allergol. immunopatol
; 52(2): 45-47, mar. 2024. ilus
Article
in English
| IBECS
| ID: ibc-231090
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
Cold urticaria is an inducible urticaria in which hives and angioedema appear after exposure to cold. The symptoms of cold urticaria often are limited to hives/angioedema. However, in up to 20% of cases, cold exposure may trigger anaphylaxis. We report the case of an 11-year-old boy previously diagnosed with chronic spontaneous urticaria who developed facial swelling, itchy hives, difficulty in breathing, vomiting and abdominal pain within 5 minutes of drinking cold water. He received a standard dose of non-sedating second-generation antihistamines at home. He was observed in the emergency room for 2 hours and discharged with an epinephrin autoinjector. During the subsequent outpatient clinic visit, an ice cube test was performed which confirmed the new diagnosis of comorbid cold-induced chronic urticaria. On further questioning, the parents reported occurrence of hives following swimming in the swimming pool. Cold-induced urticaria should be suspected in cases of anaphylaxis associated with cold exposure. Patients with chronic forms of urticaria who present with new anaphylaxis should be assessed for a potential concomitant cold-induced form. (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Urticaria
/
Vomiting
/
Abdominal Pain
/
Cold-Shock Response
/
Anaphylaxis
/
Angioedema
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Allergol. immunopatol
Year:
2024
Document type:
Article
Institution/Affiliation country:
McGill University Health Center/Canada
/
McGill University Health Centre/Canada