Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department

Introduction: Cold-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 Report: We discuss the case o...

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Bibliographic Details
Published in:Clinical practice and cases in emergency medicine Vol. 5; no. 3; pp. 307 - 311
Main Authors: McManus, Nicholas, Zehrung, Robert, Armstrong, Trevor, Offman, Ryan
Format: Journal Article
Language:English
Published: Irvine University of California Digital Library - eScholarship 01-08-2021
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
eScholarship Publishing, University of California
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Summary:Introduction: Cold-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 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. Conclusion: While 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.
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Section Editor: Austin Smith, MD
ISSN:2474-252X
2474-252X
DOI:10.5811/cpcem.2021.4.51164