Abstract
Kounis syndrome is a hypersensitivity coronary disorder induced by conditions, environmental exposures, drugs, and coronary stents. So far, conditions that have been reported to be associated with Kounis syndrome include angio-edema, bronchial asthma, exercise induced anaphylaxis, food allergy, idiopathic anaphylaxis, mastocytosis, serum sickness and urticaria [ [1] Kounis N.G. Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm?. Int J Cardiol. 2006; 110: 7-14 Abstract Full Text Full Text PDF PubMed Scopus (387) Google Scholar ]. We report a unique case of cold-induced urticaria complicated by Kounis syndrome during swimming in sea water (swimmer's death) [ [2] Brandes K. Cold urticaria and swimmer's death. Z Allg. 1970; 46: 1219-1220 PubMed Google Scholar ] that survived but with severe and avoidable impairment of quality of life (Qol).
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