Nadir Bir Fiziksel Ürtiker Nedeni: Soğuk Ürtikeri

Yıl 2014, Cilt: 8 Sayı: 3, 159 - 161, 01.06.2014

Elif Şenbaba Ferhat Çatal Erdem Topal

Öz

Soğuk ürtikeri, soğuğa maruziyet sonrası ürtiker ve/veya anjioödem gelişimi ile karakterizedir. Soğuk içecekler, soğuk hava ve soğuk nesneler soğuk ürtikerini tetikleyen faktörlerdir. Soğuk ile temas eden cilt yüzeyi geniş ise, sistemik reaksiyonlar gelişebilir. Hipereozinofilik sendrom ve hipotiroidi tanıları ile takipli 12 yaşında erkek hasta soğuğa maruziyet sonrası tekrarlayan şişlik, kaşıntı, kızarıklık şikayeti ile polikliniğimize başvurdu. Sonrasında soğuk havada ve soğuk suya girince vücudunda şişlik, kızarıklık ve kaşıntı şikayetleri tekrarlamıştı. Hepatit markerları ve kriyoglobülini negatif idi. Hastaya yapılan buz-küp testi pozitif bulundu. Bu olgu nadir görülen bir fiziksel ürtiker çeşidi olan soğuk ürtikerini hatırlatmak için sunulmuştur.

Anahtar Kelimeler

Soğuk, Fiziksel, Ürtiker

A Rare Cause of Physical Urticaria: Cold Urticaria

Öz

Cold urticaria is characterized by the development of urticaria and/or angioedema after cold exposure. Cold drinks, cold air and cold objects are triggering factors of cold urticaria. Extensive cold contact of large areas of skin may lead to systemic reaction. The 12-year-old male patient who was followed up with a diagnosis of hypereosinophilic syndrome and hypothyroidism presented to our outpatient clinic with complaints of swelling, erythema and pruritus after exposure to cold. The patient’s face, hands and feet had developed swelling, erythema and pruritus after exposure to snow, after he entered cold water, and in cold air, for the last six months. Hepatitis markers and cryoglobulin were negative. An ice cube test was performed and found positive. This case is presented to remind cold urticaria, a rare type of physical urticaria

Anahtar Kelimeler

Cold, Physical, Urticaria

Kaynakça

• Abajian M, Młynek A, Maurer M. Physical urticaria. Curr Allergy Asthma Rep 2012;12:281-7.
• Katsarou-Katsari A, Makris M, Lagogianni E, Gregoriou S, Theoharides T, Kalogeromitros D. Clinical features and natural history of acquired cold urticaria in a tertiary referral hospital: A 10-year prospective study. J Eur Acad Dermatol Venereol 2008;22:1405-11.
• Mathelier-Fusade P, Aïssaoui M, Bakhos D, Chabane MH, Leynadier F. Clinical predictive factors of severity in cold urticaria. Arch Dermatol 1998;134:106-7.
• Juhlin L. Inhibition of cold urticaria by desloratadine. J Dermatolog Treat 2004;15:51-9.
• Zuberbier T, Bindslev-Jensen C, Canonica W, Grattan CE, Greaves MW, Henz BM, et al. EAACI/GA2LEN/EDF. EAACI/GA2LEN/EDF guideline: Management of urticaria. Allergy 2006;61:321-31.
• Arıkan Ayyıldız Z, Işık S, Cağlayan Sözmen S, Karaman O, Uzuner N. Cold, cholinergic and aquagenic urticaria in children: Presentation of three cases and review of the literature. Turk J Pediatr 2013;55:94-8.
• Siebenhaar F, Weller K, Mlynek A, Magerl M, Altrichter S, Vieira Dos Santos R, et al. Acquired cold urticaria: Clinical picture and update on diagnosis and treatment. Clin Exp Dermatol 2007;32:241-5.
• Wanderer AA, Grandel KE, Wasserman SI, Farr RS. Clinical characteristics of cold-induced systemic reactions in acquired cold urticaria syndromes: Recommendations for prevention of this complication and a proposal for a diagnostic classifi cation of cold urticaria. J Allergy Clin Immunol 1986;78:417-23.
• Alangari AA, Twarog FJ, Shih MC, Schneider LC. Clinical features and anaphylaxis in children with cold urticaria. Pediatrics 2004;113:e313-7.
• Brodská P, Schmid Grendelmeier P. Treatment of severe cold contact urticaria with omalizumab: Case reports. Case Rep Dermatol 2012;4:275-80.