open access

Vol 82, No 5 (2014)
CASE REPORTS
Submitted: 2014-08-18
Accepted: 2014-08-18
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Exercise-induced urticaria and angioedema — case report

Iwona Stelmach, Anna Sztafińska, Joanna Lechańka, Joanna Balcerak, Joanna Jerzyńska
DOI: 10.5603/PiAP.2014.0061
·
Pneumonol Alergol Pol 2014;82(5):467-471.

open access

Vol 82, No 5 (2014)
CASE REPORTS
Submitted: 2014-08-18
Accepted: 2014-08-18

Abstract

Urticaria is a heterogeneous group of disorders, with various clinical manifestations and intensity of symptoms. Urticaria can be induced with a wide variety of environmental stimuli, such as cold, pressure, vibration, sunlight, exercise, temperature changes, heat, and water. In a select group of patients, exercise can induce a spectrum of urticaria symptoms, ranging from cutaneous pruritus and warmth, generalised urticaria, angioedema, and the appearance of such additional manifestations as collapse, upper respiratory distress, and anaphylaxis. Specific provocation tests should be carried out on an individual basis to investigate the suspected cause and proper diagnosis. Modification of activities and behaviour is the mainstay of treatment in patients with physical urticaria. The aim of this study was to emphasise that primary care paediatricians should be able to recognise physical urticaria, supply a patient with rescue medications, and refer him/her to a specialist. In the article, the authors present a 13-year-old girl with typical urticaria lesions and angioedema after exercise. According to the history, physical examination, and provocation test, exercise-induced urticaria and angioedema were diagnosed.

Abstract

Urticaria is a heterogeneous group of disorders, with various clinical manifestations and intensity of symptoms. Urticaria can be induced with a wide variety of environmental stimuli, such as cold, pressure, vibration, sunlight, exercise, temperature changes, heat, and water. In a select group of patients, exercise can induce a spectrum of urticaria symptoms, ranging from cutaneous pruritus and warmth, generalised urticaria, angioedema, and the appearance of such additional manifestations as collapse, upper respiratory distress, and anaphylaxis. Specific provocation tests should be carried out on an individual basis to investigate the suspected cause and proper diagnosis. Modification of activities and behaviour is the mainstay of treatment in patients with physical urticaria. The aim of this study was to emphasise that primary care paediatricians should be able to recognise physical urticaria, supply a patient with rescue medications, and refer him/her to a specialist. In the article, the authors present a 13-year-old girl with typical urticaria lesions and angioedema after exercise. According to the history, physical examination, and provocation test, exercise-induced urticaria and angioedema were diagnosed.

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Keywords

exercise-induced urticaria, angioedema, asthma, children

About this article
Title

Exercise-induced urticaria and angioedema — case report

Journal

Advances in Respiratory Medicine

Issue

Vol 82, No 5 (2014)

Pages

467-471

DOI

10.5603/PiAP.2014.0061

Bibliographic record

Pneumonol Alergol Pol 2014;82(5):467-471.

Keywords

exercise-induced urticaria
angioedema
asthma
children

Authors

Iwona Stelmach
Anna Sztafińska
Joanna Lechańka
Joanna Balcerak
Joanna Jerzyńska

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