Diseases And Treatments

Cold Urticaria - What It Is, Symptoms and Treatments


Cold Urticaria - What It Is, Symptoms and Treatmentswith medicines. In additionCold Urticaria(ur-tih-KAR-e-uh) is a cutaneous reaction to cold. Skin that has been in contact with the cold develops reddish and choreic warts (urticaria). The severity ofCold Urticariavaries a lot. Some people have minor reactions to cold, while others have serious reactions. Swimming in cold water is the most common cause of a systemic reaction (whole body). This could lead to very low blood pressure, fainting, shock and even death.

THECold Urticariaoccurs more frequently in young adults. And, in general, it clarifies in a few years. If you think you have this condition, consult your doctor. The treatment forCold Urticariausually includes taking antihistamines and avoiding cold air and water.

Causes of Cold Urticaria:No one knows exactly what causesCold Urticaria. Some people seem to have very sensitive skin cells, due to an inherited characteristic, a virus or a disease. In the most common forms of this condition, cold triggers the release of histamine and other chemicals into the bloodstream. These chemicals cause redness, itching, and sometimes an entire (systemic) body reaction.



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Symptoms of Cold Urticaria:The signs and symptoms ofCold Urticariainclude:

  • Temporary herrings reddened and itchy (urticaria) in the skin area that has been exposed to cold
  • A worsening of the reaction as the skin heats up
  • Swelling of hands when holding cold objects
  • Swelling of the lips and throat when consuming food or cold drink

Serious reactions may include:

  • A whole body response (anaphylaxis), which can cause fainting, a racing heart, swelling of limbs or torso, and shock
  • Swelling of the tongue and throat, which makes breathing difficult

Symptoms ofCold Urticariabegin immediately after the skin is exposed to a sudden drop in air temperature or cold water. Most of the reactions ofCold Urticariaoccurs when the skin is exposed to temperatures below 39 ° F (4 ° C). But some people may have reactions to warmer temperatures. Wet and suction conditions can make theCold Urticariamore probable.

The worst reactions usually occur with full exposure to the skin, such as swimming in cold water. Such a reaction can lead to loss of consciousness and drowning. In some people, theCold Urticariadisappears alone after weeks or months. In others, it lasts longer.

When to Contact a Physician:If you experience skin reactions after exposure to cold, consult a physician. Even if the reactions are mild, your doctor will want to exclude the underlying conditions that may be causing the problem. Seek emergency care if after a sudden cold exposure you:

  • Feel dizzy
  • Difficulty breathing
  • Feel your tongue or throat swelling

Risk Factors of Cold Urticaria:Anyone can developCold Urticaria. You are more likely to have this condition if:

  • You are a child or a young adult. The most common type -Cold Urticariaacquired - occurs in children and young adults. Generally, it improves itself within a few years.
  • You have had an infection recently. For example, pneumonia was associated withCold Urticaria.
  • You have an underlying health condition. A less common type - acquired secondary dry urticaria - may be caused by an underlying health problem such as hepatitis or cancer.
  • You have certain inherited traits. Rarely, theCold Urticariais inherited. This family type causes painful pains and flu-like symptoms after exposure to cold.

Cold Urticaria Complications:The main complication ofCold Urticariais a severe reaction that occurs after exposing large areas of skin to cold, for example, swimming in cold water.

Tests and Diagnosis of Cold Urticaria:THECold Urticariacan be diagnosed by placing an ice cube on the skin for 5 minutes. If you haveCold Urticaria, a red collision (hive) will increase a few minutes after the ice cube is removed. Most cases ofCold Urticariaoccurs in young adults and has no apparent underlying cause.


Generally, it improves itself within a few years. In some cases, theCold Urticariais caused by an underlying condition that affects the immune system such as hepatitis or cancer. If your doctor suspects that you have an underlying condition, you may need blood tests or other tests.

Cold Urticaria Treatments:There is no cure forCold Urticaria, but the treatment may help. Your doctor may recommend that you try to prevent or reduce symptoms with home remedies, such as over-the-counter antihistamines. If self-care steps do not help, talk to your doctor about finding a prescription drug or combination of drugs that suits you best. The drugs prescribed to treat theCold Urticariainclude:

  • Antihistamines.These drugs block the release of histamine producing symptoms. Examples include fexofenadine (Allegra) and desloratadine (Clarinex).
  • Cyproheptadine.This medication is an antihistamine that also affects the nerve impulses that lead to symptoms.
  • Doxepin (Silenor).Usually used to treat anxiety and depression, this medication may also reduce the symptoms ofCold Urticaria.
  • Omalizumab (Xolair).Commonly used to treat asthma, this drug has been used successfully to treat a small number of people with asthma.Cold Urticariawho did not respond to other medications.

If you haveCold Urticariabecause of an underlying health problem, you also need medications or other treatment for this condition.


Lifestyle and Home Remedies:The following precautions may help to soothe the skin's recurrent skin reactions.Cold Urticaria:

  • Antihistamines.These drugs block the release of histamine producing symptoms. Over-the-counter (OTC) products include loratadine (Claritin), fexofenadine (Allegra), cetirizine (Zyrtec) and levocetirizine (Xyzal).
  • Avoid sudden changes in temperature.Take special care to protect your skin from the cold.

Prevention of Cold Urticaria:You can help prevent a recurring episode ofCold Urticariawith these practices:



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  • Take an antihistamine without a prescription before exposure to cold.
  • Take medications as prescribed.
  • Protect your skin from cold or sudden changes in temperature. For example, wear a wetsuit when swimming in cold water. Some people have had success with this method, but it has not been proven.
  • Avoid cold drinks and food to prevent swelling of the throat.
  • If your doctor has prescribed an auto epinephrine injector (Epipen, Auvi-Q, others), keep it with you to help prevent serious reactions.


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If you are scheduled for surgery, talk to your surgeon beforehand about yourCold Urticaria. The surgical team can take steps to help prevent cold-induced symptoms in the operating room.