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Cold-Induced Urticaria in a Paediatric Patient: A Case Report and Literature Review
Madalena Von Hafe1, Afonso Caires2, Leonor Carneiro-Leão2
1Pediatrics, Centro Hospitalar Universitário de São João, Porto, PRT.
Insights
Acquired cold-induced urticaria, a rare condition, presents varied symptoms in children, often leading to underdiagnosis. Early recognition and management are vital due to potential anaphylaxis risks.
Area of Science:
- Pediatrics
- Dermatology
- Allergy and Immunology
Background:
- Acquired cold-induced urticaria (ACIU) is a rare physical urticaria subtype.
- It is particularly underdiagnosed in pediatric populations due to diverse clinical manifestations and low prevalence.
Observation:
- A case of ACIU in a previously healthy nine-year-old boy is presented.
- The study reviews existing literature on ACIU, highlighting varied presentations.
Findings:
- ACIU diagnosis requires careful clinical evaluation and specific diagnostic tests.
- Effective disease management strategies are crucial for patient outcomes.
Implications:
- Increased clinician awareness of ACIU's varied presentations is necessary.
- Prompt diagnosis and management can mitigate the risk of severe reactions like anaphylaxis.
- This review provides a guide for diagnosing and managing pediatric ACIU.
Abstract:
Acquired cold-induced urticaria is a rare form of physical urticaria, especially in children. The variety of clinical presentations and the low estimated prevalence contribute to its underdiagnosis. Given the associated risk of anaphylaxis, it is crucial to alert clinicians to the different forms of presentation, diagnosis, and treatment. Starting with a case report of acquired cold-induced urticaria in a previously healthy nine-year-old boy, the authors then review the literature about acquired cold-induced urticaria and discuss the diagnostic exams and disease management.
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