Abstract
IntroductionCold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. While most cases are idiopathic, secondary associations with infections, medications, and certain cancers have been described.Case ReportWe discuss the case of a 50-year-old male with recent episodes of urticaria from cold air exposure following a flu-like illness six months prior, who presented with symptoms of anaphylaxis upon jumping into a lake.ConclusionWhile the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming.
Highlights
Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure
Case Report: We discuss the case of a 50-year-old male with recent episodes of urticaria from cold air exposure following a flu-like illness six months prior, who presented with symptoms of anaphylaxis upon jumping into a lake
We report the case of a patient presenting to the emergency department (ED) with symptoms suggestive of anaphylaxis immediately upon jumping into a lake in the middle of summer
Summary
Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. Case Report: We discuss the case of a 50-year-old male with recent episodes of urticaria from cold air exposure following a flu-like illness six months prior, who presented with symptoms of anaphylaxis upon jumping into a lake
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