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      The association of cholinergic and cold-induced urticaria: diagnosis and management

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      Case Reports
      BMJ

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          Abstract

          <p class="first" id="d8315214e124">Physical urticaria is often challenging to diagnose and manage. We present a case of both cholinergic and cold-induced urticaria and discuss the diagnosis and management strategies of these two important conditions. </p>

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          Most cited references30

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          Standardization of food challenges in patients with immediate reactions to foods--position paper from the European Academy of Allergology and Clinical Immunology.

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            Natural course of physical and chronic urticaria and angioedema in 220 patients.

            Information about spontaneous remission of chronic urticaria is limited. To investigate the natural course of urticaria, we followed up 220 adults in a prospective study. Patients were followed up for 1 to 3 years to evaluate interventions, to detect latent causes, and to study the natural course of urticaria. The diagnosis was made by detailed history-taking as well as laboratory and provocation tests. Thirty-five percent of all patients were free of symptoms after 1 year. In 28.9% of patients, symptoms had decreased. Spontaneous remission occurred in 47.4% of the patients in whom no cause of their urticaria and/or angioedema could be identified and in only 16.4% of the patients with physical urticaria. A cause could be identified in 53.1% of the patients. Thirty-six percent of the patients had idiopathic urticaria. Chronic idiopathic urticaria combined with physical urticaria occurred in 10.9%. In general, the prognosis for spontaneous remission is reasonable, with the exception of the subgroup (33.2%) with physical urticaria.
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              EAACI/GA2LEN/EDF guideline: definition, classification and diagnosis of urticaria.

              This guideline is the result of a consensus reached during a panel discussion at the 2nd International Consensus Meeting on Urticaria, Urticaria 2004, a joint initiative of the European Academy of Allergology and Clinical Immunology Dermatology Section and the European Union (EU)-funded network of excellence, GA2LEN. It covers the definition and classification of urticaria, taking into account the recent progress in identifying causes, eliciting factors and pathomechanisms of this disease. We have outlined useful diagnostic approaches for different subtypes of urticaria. This guideline was, in addition, accepted by the European Dermatology Forum (EDF) and was formally approved by the European Union of Medical Specialists (UEMS).
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                Author and article information

                Journal
                Case Reports
                Case Reports
                BMJ
                1757-790X
                February 18 2015
                February 18 2015
                February 18 2015
                February 18 2015
                : 2015
                : feb18 1
                : bcr2014205258
                Article
                10.1136/bcr-2014-205258
                4336875
                25694628
                18f82171-a4c8-45ee-a466-b458dc73434e
                © 2015
                History

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