How to Approach Chronic Inducible Urticaria

Marcus Maurer; Joachim W Fluhr; David A Khan

doi:10.1016/j.jaip.2018.03.007

How to Approach Chronic Inducible Urticaria

J Allergy Clin Immunol Pract. 2018 Jul-Aug;6(4):1119-1130. doi: 10.1016/j.jaip.2018.03.007.

Authors

Marcus Maurer¹, Joachim W Fluhr², David A Khan³

Affiliations

¹ Department of Dermatology and Allergy, Charité - Universitätsmedizin, Berlin, Germany. Electronic address: marcus.maurer@charite.de.
² Department of Dermatology and Allergy, Charité - Universitätsmedizin, Berlin, Germany.
³ Division of Allergy and Immunology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Tex.

PMID: 30033913
DOI: 10.1016/j.jaip.2018.03.007

Abstract

Chronic inducible urticaria (CIndU) is a group of chronic urticarias characterized by the appearance of recurrent wheals, recurrent angioedema or both, as a response to specific triggers. CIndU includes both physical (symptomatic dermographism, cold and heat urticaria, delayed pressure urticaria, solar urticaria, and vibratory urticaria) and nonphysical urticarias (cholinergic urticaria, contact and aquagenic urticaria). Here, we review the different forms of CIndU with an emphasis on symptomatic dermographism, cold urticaria, cholinergic urticaria, and delayed pressure urticaria. We discuss the clinical features, the diagnostic workup including provocation and threshold testing, and available treatment options.

Keywords: Cholinergic urticaria; Chronic inducible urticaria; Cold urticaria; Symptomatic dermographism; TempTest.

Publication types

Review

MeSH terms

Chronic Disease
Humans
Pressure
Temperature
Urticaria* / diagnosis
Urticaria* / drug therapy
Urticaria* / etiology