Cholinergic urticaria in pediatricians’ practice

Abstract

Chronic urticaria (CholU) is a relevant problem in pediatrics due to its high frequency among other physical forms of chronic urticarial especially in adolescence. We present current data of pathogenesis, diagnostic criterias and principles of therapy of CholU using up-to-date clinical guidelines. Also the significance of provocative tests for diagnosis and differential diagnosis with other forms of inducible urticaria was described. We examined 182 patients with chronic urticarial and revealed 3.8% cases of CholU. Our clinical case report of patient with cold urticaria and exercise-induced anaphylaxis represents the importance of this issue for pediatricians and allergists-immunologists.

Keywords

• cholinergic urticaria
• acetylcholine
• provocative tests
• exercise-induced anaphylaxis