Diagnosis and management of cold urticaria

Reid Singleton, Caroline P. Halverstam

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Cold urticaria is a physical urticaria characterized by a localized or systemic eruption of papules upon exposure of the skin to cold air, liquids, and/or objects. In some cases, angioedema and anaphylaxis also may occur. The symptoms of cold urticaria can have a negative impact on patients' quality of life. Second-generation H1 antihistamines are the first line of treatment in cold urticaria; however, patients who are unresponsive to initial treatment with H1 antihistamines may require further management options. Avoidance of cold exposure is the most effective prophylactic measure. In mild to moderate cases, the primary goal of therapy is to improve the patient's quality of life. In more severe cases, treatment measures to protect the patient's airway, breathing, and circulation may be necessary. We report the case of a 23-year-old man with cold urticaria who was refractory to initial therapy with H1 antihistamines. A review of the literature also is provided.

Original languageEnglish
Pages (from-to)59-62
Number of pages4
Issue number1
StatePublished - 2016
Externally publishedYes


Dive into the research topics of 'Diagnosis and management of cold urticaria'. Together they form a unique fingerprint.

Cite this