• Nine patients with acquired cold urticaria were studied to assess the effects of β-adrenergic agents, xanthines, and corticosteroids on cold-evoked histamine release from skin in vivo. The patients, in all of whom an immediate urticarial response developed after cooling of the forearm, demonstrated release of histamine into the venous blood draining that forearm. Following treatment with aminophylline and albuterol in combination or prednisone alone, suppression of histamine release occurred in all but one patient. In some patients, this was accompanied by a subjective diminution in pruritus or burning, but there was no significant improvement in the ensuing edema or erythema. In one patient, total suppression of histamine release was achieved without any effect on whealing and erythema in response to cold challenge. Our results suggest that histamine is not central to the pathogenesis of vascular changes in acquired cold urticaria.
(Arch Dermatol 116:174-177, 1980)
Keahey TM, Greaves MW. Cold Urticaria: Dissociation of Cold-Evoked Histamine Release and Urticaria Following Cold Challenge. Arch Dermatol. 1980;116(2):174–177. doi:10.1001/archderm.1980.01640260050012
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.