Materiały źródłowe

• #1

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  We don’t often see patients with cold-induced urticaria. […] Cold urticaria is a relatively rare, yet very real allergy, accounting for approximately 1% to 3% of all urticaria cases in the United States, according to the National Organization for Rare Disorders. […] Cold urticaria occurs when a person is exposed to any cold stimuli of variable duration, such as cold, damp, or windy weather; water activities; eating or drinking cold foods or liquids; and/or handling cold objects. […] Symptoms are usually noticeable minutes after the skin has been exposed to the stimulus and are characterized by the following: temporary reddish, itchy welts or wheals (hives) on the area of skin that was exposed to cold […] swelling of the hands when holding cold objects […] swelling of the lips and throat (angioedema) when consuming cold food or drink.

• #2 Cold urticaria – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cold-urticaria/symptoms-causes/syc-20371046

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #3 Cold Urticaria: What It Is, Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24629-cold-urticaria

  Cold urticaria is a condition that causes an allergic reaction to cold temperatures. A person with cold urticaria may develop a rash or hives after: […] One of the most effective ways to manage cold urticaria is to avoid cold. Other common treatment strategies include: […] Your healthcare provider will educate you about ways to protect yourself. Strategies include: […] Cold urticaria is a condition that causes an allergic reaction to cold temperatures. If you get a rash after exposure to something cold, talk to your healthcare provider. They can help you protect yourself and offer possible treatments.

• #4 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #5 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Cold urticaria is a relatively uncommon form of chronic inducible urticaria. Urticarial weals develop after being exposed to cold, cold water, and cold objects. […] Cold urticaria may be primary (idiopathic) or secondary to an underlying haematologic (blood condition) or infectious disease. Most cases are of the idiopathic (unknown cause) type. […] Symptoms of cold urticaria become evident within 25 minutes after exposure and last for 12 hours. They include itchy weals (urticaria) and angioedema that may be localised (affecting certain parts of the body) or generalised (rash over the whole body). […] Patients with cold urticaria should learn to protect themselves from a rapid drop in body temperature. Aquatic activities (such as swimming and surfing) should always be under supervision.

• #6 Cold Urticaria – Global Allergy & Airways Patient PlatformExpandExpandExpandExpandExpandExpandToggle MenuScroll to topScroll to topExpandExpandExpandExpandExpandExpand

  https://gaapp.org/diseases/urticaria/forms-of-urticaria/cold-urticaria

  Cold urticaria, or cold-induced urticaria, is an allergic reaction that affects the skin when it is exposed to something cold, such as cold water, weather, or ice. The cold temperature triggers immune system cells in the skin – called mast cells – to react and release histamine and other chemicals. Commonly a red, itchy rash appears within a few minutes of the cold exposure. […] The first treatment option is to avoid cold exposure. However, depending on your occupation, lifestyle, or where you live, this may not always be possible. […] Avoidance measures are usually combined with drug therapy, which is similar to the treatment for urticaria. The options include: Antihistamines (non-sedating) – these can be purchased over the counter or your doctor may prescribe them. Your doctor may need to gradually increase the dose of your antihistamine to find the right level for you.

• #7 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Cold urticaria is a relatively uncommon form of chronic inducible urticaria. Urticarial weals develop after being exposed to cold, cold water, and cold objects. […] Cold urticaria may be primary (idiopathic) or secondary to an underlying haematologic (blood condition) or infectious disease. Most cases are of the idiopathic (unknown cause) type. […] Symptoms of cold urticaria become evident within 25 minutes after exposure and last for 12 hours. They include itchy weals (urticaria) and angioedema that may be localised (affecting certain parts of the body) or generalised (rash over the whole body). […] Patients with cold urticaria should learn to protect themselves from a rapid drop in body temperature. Aquatic activities (such as swimming and surfing) should always be under supervision.

• #8

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  We don’t often see patients with cold-induced urticaria. […] Cold urticaria is a relatively rare, yet very real allergy, accounting for approximately 1% to 3% of all urticaria cases in the United States, according to the National Organization for Rare Disorders. […] Cold urticaria occurs when a person is exposed to any cold stimuli of variable duration, such as cold, damp, or windy weather; water activities; eating or drinking cold foods or liquids; and/or handling cold objects. […] Symptoms are usually noticeable minutes after the skin has been exposed to the stimulus and are characterized by the following: temporary reddish, itchy welts or wheals (hives) on the area of skin that was exposed to cold […] swelling of the hands when holding cold objects […] swelling of the lips and throat (angioedema) when consuming cold food or drink.

• #9

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  We don’t often see patients with cold-induced urticaria. […] Cold urticaria is a relatively rare, yet very real allergy, accounting for approximately 1% to 3% of all urticaria cases in the United States, according to the National Organization for Rare Disorders. […] Cold urticaria occurs when a person is exposed to any cold stimuli of variable duration, such as cold, damp, or windy weather; water activities; eating or drinking cold foods or liquids; and/or handling cold objects. […] Symptoms are usually noticeable minutes after the skin has been exposed to the stimulus and are characterized by the following: temporary reddish, itchy welts or wheals (hives) on the area of skin that was exposed to cold […] swelling of the hands when holding cold objects […] swelling of the lips and throat (angioedema) when consuming cold food or drink.

• #10

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  We don’t often see patients with cold-induced urticaria. […] Cold urticaria is a relatively rare, yet very real allergy, accounting for approximately 1% to 3% of all urticaria cases in the United States, according to the National Organization for Rare Disorders. […] Cold urticaria occurs when a person is exposed to any cold stimuli of variable duration, such as cold, damp, or windy weather; water activities; eating or drinking cold foods or liquids; and/or handling cold objects. […] Symptoms are usually noticeable minutes after the skin has been exposed to the stimulus and are characterized by the following: temporary reddish, itchy welts or wheals (hives) on the area of skin that was exposed to cold […] swelling of the hands when holding cold objects […] swelling of the lips and throat (angioedema) when consuming cold food or drink.

• #11 Cold hives: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/cold-hives

  Cold hives are raised, itchy bumps that appear on the skin after exposure to cold temperatures. It is a rare type of hives that only affects a small percentage of the population. […] The main symptom of cold hives is raised welts on a persons skin that appear when a part of their body gets cold. The welts may itch, but not always. Other symptoms include a burning sensation, swelling of the skin, and feeling lightheaded or faint. […] There is no cure for cold hives, but treatment can reduce the symptoms. This may involve avoiding triggers, antihistamines, other medications, and epinephrine for severe cases. […] It is important to avoid any topical products or treatments that cool the skin. People should tell medical or cosmetic professionals about having cold hives before undergoing any procedures. […] Anyone who experiences hives in response to cold exposure should talk with a doctor. This could be a primary care physician, an allergist, or a dermatologist. They can diagnose and treat the condition, reducing the impact it has on someones life.

• #12 Cold hives: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/cold-hives

  Cold hives are raised, itchy bumps that appear on the skin after exposure to cold temperatures. It is a rare type of hives that only affects a small percentage of the population. […] The main symptom of cold hives is raised welts on a persons skin that appear when a part of their body gets cold. The welts may itch, but not always. Other symptoms include a burning sensation, swelling of the skin, and feeling lightheaded or faint. […] There is no cure for cold hives, but treatment can reduce the symptoms. This may involve avoiding triggers, antihistamines, other medications, and epinephrine for severe cases. […] It is important to avoid any topical products or treatments that cool the skin. People should tell medical or cosmetic professionals about having cold hives before undergoing any procedures. […] Anyone who experiences hives in response to cold exposure should talk with a doctor. This could be a primary care physician, an allergist, or a dermatologist. They can diagnose and treat the condition, reducing the impact it has on someones life.

• #13 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #14 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. […] Given the different possible cold triggers of CU, a detailed history and the use of confirmatory tests are required to appropriately establish the diagnosis. […] With cold stimuli being very common, under-diagnosis or misdiagnosis of this type of urticaria could lead to a significant impact on the quality of life of patients. […] Given that management strategies differ according to reaction severity, clinician’s should be aware of the different clinical presentations of CU. […] It is important to reassure patients on the usually benign course of the disease and to protect body surfaces when cold exposure is inevitable as well as to avoid rapid exposure to cold water. […] Treatment of cold urticaria involves education, avoidance of triggers and use of antihistamines and an epinephrine autoinjector in severe cases.

• #15 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. […] The majority of patients with cold-induced urticaria (CIU) develop localized urticarial wheals or cutaneous angioedema within minutes of cold exposure. […] Awareness of this disease process should be of particular interest to emergency physicians as nearly 37% of individuals may experience systemic symptoms ranging from generalized urticaria to anaphylaxis. […] While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming. […] After complete resolution of his symptoms, the patient was provided education about cold urticaria and told to avoid water submersion.

• #16

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  Assess the patient presenting with cold urticaria for symptoms, manifestations, and precipitating factors. […] There’s no definitive therapy for the treatment of cold urticaria. Patient education regarding the avoidance of cold stimuli or triggers is the best practice. […] Instruct patients who experience wheals to remove any cold, wet clothing touching the affected skin area and warm their skin temperature. […] According to the National Organization for Rare Disorders, individuals may attempt desensitization by repeated exposures to cold, such as regularly taking cold showers.

• #17 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] They serve as a foundation for developing individualized care plans to manage symptoms, prevent complications, and improve the overall well-being of individuals experiencing urticaria.

• #18

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  Assess the patient presenting with cold urticaria for symptoms, manifestations, and precipitating factors. […] There’s no definitive therapy for the treatment of cold urticaria. Patient education regarding the avoidance of cold stimuli or triggers is the best practice. […] Instruct patients who experience wheals to remove any cold, wet clothing touching the affected skin area and warm their skin temperature. […] According to the National Organization for Rare Disorders, individuals may attempt desensitization by repeated exposures to cold, such as regularly taking cold showers.

• #19 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. […] Given the different possible cold triggers of CU, a detailed history and the use of confirmatory tests are required to appropriately establish the diagnosis. […] With cold stimuli being very common, under-diagnosis or misdiagnosis of this type of urticaria could lead to a significant impact on the quality of life of patients. […] Given that management strategies differ according to reaction severity, clinician’s should be aware of the different clinical presentations of CU. […] It is important to reassure patients on the usually benign course of the disease and to protect body surfaces when cold exposure is inevitable as well as to avoid rapid exposure to cold water. […] Treatment of cold urticaria involves education, avoidance of triggers and use of antihistamines and an epinephrine autoinjector in severe cases.

• #20 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. […] The majority of patients with cold-induced urticaria (CIU) develop localized urticarial wheals or cutaneous angioedema within minutes of cold exposure. […] Awareness of this disease process should be of particular interest to emergency physicians as nearly 37% of individuals may experience systemic symptoms ranging from generalized urticaria to anaphylaxis. […] While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming. […] After complete resolution of his symptoms, the patient was provided education about cold urticaria and told to avoid water submersion.

• #21 Managing chronic spontaneous urticaria (hives) in primary care

  https://journals.rcni.com/nursing-standard/evidence-and-practice/managing-chronic-spontaneous-urticaria-hives-in-primary-care-ns.2018.e11198

  Chronic spontaneous urticaria is characterised by the spontaneous appearance of hives or wheals, and/or angioedema, lasting for at least six weeks. […] Nurses have an important role in the differential diagnosis of chronic spontaneous urticaria, assessing patients quality of life, providing advice on non-pharmacological measures, monitoring the patients response to treatment, and referring the patient for specialist care, where appropriate. […] This article describes the presentation, diagnosis and management of chronic spontaneous urticaria in primary care. […] To understand the aspects of optimal nursing care for patients with chronic spontaneous urticaria.

• #22 Cold urticaria – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cold-urticaria/diagnosis-treatment/drc-20371051

  An ice cube is placed on your skin for five minutes to diagnose cold urticaria. If you have cold urticaria, a raised bump, also called a hive, will form a few minutes after the ice cube is taken away. This is called the ice cube or cold contact test. […] In some people, cold urticaria goes away on its own after weeks or months. In others, it lasts longer. While there is no cure for the condition, treatment and taking steps to avoid cold urticaria can help. […] Your healthcare professional may recommend that you try to keep symptoms from happening or reduce those symptoms using home remedies. These remedies include antihistamines available without a prescription and staying away from the cold. If these treatments don’t help, you may need prescription medicine. […] Antihistamines block the release of histamine that causes symptoms. These medicines can be used to treat mild symptoms of cold urticaria or to keep a response from happening. Medicines available without a prescription include forms of loratadine and cetirizine.

• #23 Cold urticaria – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cold-urticaria/diagnosis-treatment/drc-20371051

  An ice cube is placed on your skin for five minutes to diagnose cold urticaria. If you have cold urticaria, a raised bump, also called a hive, will form a few minutes after the ice cube is taken away. This is called the ice cube or cold contact test. […] In some people, cold urticaria goes away on its own after weeks or months. In others, it lasts longer. While there is no cure for the condition, treatment and taking steps to avoid cold urticaria can help. […] Your healthcare professional may recommend that you try to keep symptoms from happening or reduce those symptoms using home remedies. These remedies include antihistamines available without a prescription and staying away from the cold. If these treatments don’t help, you may need prescription medicine. […] Antihistamines block the release of histamine that causes symptoms. These medicines can be used to treat mild symptoms of cold urticaria or to keep a response from happening. Medicines available without a prescription include forms of loratadine and cetirizine.

• #24 Cold urticaria – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/cold-urticaria/diagnosis-treatment/drc-20371051

  An ice cube is placed on your skin for five minutes to diagnose cold urticaria. If you have cold urticaria, a raised bump, also called a hive, will form a few minutes after the ice cube is taken away. This is called the ice cube or cold contact test. […] In some people, cold urticaria goes away on its own after weeks or months. In others, it lasts longer. While there is no cure for the condition, treatment and taking steps to avoid cold urticaria can help. […] Your healthcare professional may recommend that you try to keep symptoms from happening or reduce those symptoms using home remedies. These remedies include antihistamines available without a prescription and staying away from the cold. If these treatments don’t help, you may need prescription medicine. […] Antihistamines block the release of histamine that causes symptoms. These medicines can be used to treat mild symptoms of cold urticaria or to keep a response from happening. Medicines available without a prescription include forms of loratadine and cetirizine.

• #25 24.4: Urticaria and Angioneurotic Edema – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/24%3A_Management_of_Patients_with_Allergic_Disorders/24.04%3A_Urticaria_and_Angioneurotic_Edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. […] Cold urticaria may be diagnosed by applying ice cubes to the skin on the forearm for 1 to 5 minutes. A positive result is when urticaria is present at the application site. Those with cold urticaria may develop leukocytosis, increased C-reactive protein levels, or raised erythrocyte sedimentation rate (ESR). […] Nursing interventions for improving symptoms may include administering medications and eliminating identified or suspected triggers causing urticaria. Medications may include antihistamines and system corticosteroids. Other interventions may include avoiding heat, stress, tight clothes, NSAIDs, and alcohol, as those items can further aggravate the reaction. Patients with cold urticaria should be educated to avoid cold stimuli.

• #26 24.4: Urticaria and Angioneurotic Edema – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/24%3A_Management_of_Patients_with_Allergic_Disorders/24.04%3A_Urticaria_and_Angioneurotic_Edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. […] Cold urticaria may be diagnosed by applying ice cubes to the skin on the forearm for 1 to 5 minutes. A positive result is when urticaria is present at the application site. Those with cold urticaria may develop leukocytosis, increased C-reactive protein levels, or raised erythrocyte sedimentation rate (ESR). […] Nursing interventions for improving symptoms may include administering medications and eliminating identified or suspected triggers causing urticaria. Medications may include antihistamines and system corticosteroids. Other interventions may include avoiding heat, stress, tight clothes, NSAIDs, and alcohol, as those items can further aggravate the reaction. Patients with cold urticaria should be educated to avoid cold stimuli.

• #27 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #28 Cold urticaria

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cold-urticaria2/

  Cold urticaria occurs most frequently in young adults. If you think you have this condition, consult your doctor. Treatment usually includes preventive steps such as taking antihistamines and avoiding cold air and water. […] If you have skin reactions after cold exposure, see your doctor. Even if the reactions are mild, your doctor will want to rule out underlying conditions that may be causing the problem. […] The following tips may help prevent a recurrent episode of cold urticaria: Take an over-the-counter antihistamine before cold exposure. Take medications as prescribed. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first and see if you experience a skin reaction. Avoid ice-cold drinks and food to prevent swelling of your throat. If your doctor prescribed an epinephrine autoinjector (EpiPen, Auvi-Q, others), keep it with you to help prevent serious reactions. If you’re scheduled for surgery, talk with your surgeon beforehand about your cold urticaria. The surgical team can take steps to help prevent cold-induced symptoms in the operating room.

• #29 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] They serve as a foundation for developing individualized care plans to manage symptoms, prevent complications, and improve the overall well-being of individuals experiencing urticaria.

• #30 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  The cases presented can be classified based on symptom severity. […] Determining reaction severity is crucial as it might guide patient management. […] In conclusion, the cases presented provide three different scenarios of CU and exemplify diagnosis and management challenges involved in the care for these patients.

• #31 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] They serve as a foundation for developing individualized care plans to manage symptoms, prevent complications, and improve the overall well-being of individuals experiencing urticaria.

• #32 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] They serve as a foundation for developing individualized care plans to manage symptoms, prevent complications, and improve the overall well-being of individuals experiencing urticaria.

• #33 24.4 Urticaria and Angioneurotic Edema – Medical-Surgical Nursing | OpenStax

  https://openstax.org/books/medical-surgical-nursing/pages/24-4-urticaria-and-angioneurotic-edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. Cold urticaria is either acquired or familial atypical, an autosomal dominant condition inherited from one affected parent. […] Nurses play an important role in managing care for patients with urticaria. The care plan should include performing an assessment to recognize and analyze cues, prioritizing hypotheses, generating solutions, taking action, and evaluating care and outcomes. If any outcomes have been deemed nonsatisfactory, then the nurse must reassess using the Clinical Judgment Measurement Model and start over with recognizing and analyzing cues and then following subsequent steps until a satisfactory outcome is reached.

• #34 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  The cases presented can be classified based on symptom severity. […] Determining reaction severity is crucial as it might guide patient management. […] In conclusion, the cases presented provide three different scenarios of CU and exemplify diagnosis and management challenges involved in the care for these patients.

• #35 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] Individualized care plans should consider the unique triggers and characteristics of urticaria in each patient. […] Regular communication with the healthcare team and ongoing patient education are essential components of successful urticaria management. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #36 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. […] Given the different possible cold triggers of CU, a detailed history and the use of confirmatory tests are required to appropriately establish the diagnosis. […] With cold stimuli being very common, under-diagnosis or misdiagnosis of this type of urticaria could lead to a significant impact on the quality of life of patients. […] Given that management strategies differ according to reaction severity, clinician’s should be aware of the different clinical presentations of CU. […] It is important to reassure patients on the usually benign course of the disease and to protect body surfaces when cold exposure is inevitable as well as to avoid rapid exposure to cold water. […] Treatment of cold urticaria involves education, avoidance of triggers and use of antihistamines and an epinephrine autoinjector in severe cases.

• #37 24.4: Urticaria and Angioneurotic Edema – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/24%3A_Management_of_Patients_with_Allergic_Disorders/24.04%3A_Urticaria_and_Angioneurotic_Edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. […] Cold urticaria may be diagnosed by applying ice cubes to the skin on the forearm for 1 to 5 minutes. A positive result is when urticaria is present at the application site. Those with cold urticaria may develop leukocytosis, increased C-reactive protein levels, or raised erythrocyte sedimentation rate (ESR). […] Nursing interventions for improving symptoms may include administering medications and eliminating identified or suspected triggers causing urticaria. Medications may include antihistamines and system corticosteroids. Other interventions may include avoiding heat, stress, tight clothes, NSAIDs, and alcohol, as those items can further aggravate the reaction. Patients with cold urticaria should be educated to avoid cold stimuli.

• #38 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #39 Cold urticaria

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cold-urticaria2/

  Cold urticaria occurs most frequently in young adults. If you think you have this condition, consult your doctor. Treatment usually includes preventive steps such as taking antihistamines and avoiding cold air and water. […] If you have skin reactions after cold exposure, see your doctor. Even if the reactions are mild, your doctor will want to rule out underlying conditions that may be causing the problem. […] The following tips may help prevent a recurrent episode of cold urticaria: Take an over-the-counter antihistamine before cold exposure. Take medications as prescribed. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first and see if you experience a skin reaction. Avoid ice-cold drinks and food to prevent swelling of your throat. If your doctor prescribed an epinephrine autoinjector (EpiPen, Auvi-Q, others), keep it with you to help prevent serious reactions. If you’re scheduled for surgery, talk with your surgeon beforehand about your cold urticaria. The surgical team can take steps to help prevent cold-induced symptoms in the operating room.

• #40 Cold urticaria | Altru Health System

  https://www.altru.org/health-library/conditions/cold-urticaria

  In some people, cold urticaria goes away on its own after weeks or months. In others, it lasts longer. While there is no cure for the condition, treatment and taking steps to avoid cold urticaria can help. […] Your healthcare professional may recommend that you try to keep symptoms from happening or reduce those symptoms using home remedies. These remedies include antihistamines available without a prescription and staying away from the cold. If these treatments don’t help, you may need prescription medicine. […] Antihistamines block the release of histamine that causes symptoms. These medicines can be used to treat mild symptoms of cold urticaria or to keep a response from happening. Medicines available without a prescription include forms of loratadine and cetirizine.

• #41 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  In some people, cold urticaria goes away on its own after weeks or months. In others, it lasts longer. While there is no cure for the condition, treatment and taking steps to avoid cold urticaria can help. […] Antihistamines block the release of histamine that causes symptoms. These medicines can be used to treat mild symptoms of cold urticaria or to keep a response from happening. Medicines available without a prescription include forms of loratadine and cetirizine.

• #42

  https://www.healio.com/news/allergy-asthma/20210809/omalizumab-effectively-treats-chronic-cold-urticaria

  Omalizumab effectively treated chronic cold urticaria and prevented further episodes of anaphylaxis, according to a single-center study published in The Journal of Allergy and Clinical Immunology: In Practice. […] However, in CCU, there is a risk for life-threatening anaphylaxis upon sudden exposure to cold in a large body surface area, Hartog said. One such situation could include jumping into a cold body of water. Because of this risk, we do counsel patients about the risk for anaphylaxis and prescribe an epinephrine autoinjector. […] Currently, the researchers said, there are no clear guidelines for specifically treating CCU or if it should be treated differently from chronic spontaneous urticaria, although second-generation nonsedating H1-antihistamines often are used as the first line of treatment.

• #43 Cold Urticaria: Symptoms, Causes, and Treatment

  https://resources.healthgrades.com/right-care/skin-hair-and-nails/cold-urticaria

  Cold urticaria is an allergic response that develops after exposure to the cold. It most often presents as a rash or hives. The exact cause of cold urticaria is unknown. Still, treatment and management can be effective at alleviating symptoms. […] The main aim of cold urticaria treatment is to alleviate symptoms and prevent flare-ups. A key part of managing cold urticaria is learning and avoiding your personal triggers. To do this, you can start by recording your symptoms and note any activities that may have caused them. Once you have identified possible triggers, you can then take steps to avoid them or reduce their impact. […] If avoiding your triggers is difficult, medical therapies may also help. These can include: over-the-counter antihistamine medication, taken before exposure; prescription medications, such as omalizumab (Xolair); epinephrine pens (Epi-Pen, Adrenaclick, Twinject), in case of severe allergic reactions or anaphylaxis. Your doctor may prescribe an epinephrine pen and recommend carrying it with you at all times. Epinephrine can help stop anaphylaxis and reduce your symptoms. […] Treatments for cold urticaria include identifying and avoiding possible triggers and taking antihistamine medications.

• #44 Cold Urticaria – Global Allergy & Airways Patient PlatformExpandExpandExpandExpandExpandExpandToggle MenuScroll to topScroll to topExpandExpandExpandExpandExpandExpand

  https://gaapp.org/diseases/urticaria/forms-of-urticaria/cold-urticaria

  If you are at risk of anaphylaxis, your doctor may also prescribe an epinephrine auto-injector for you to carry with you in case of emergency. This is a medical device that you can use to quickly administer a dose of epinephrine (adrenaline) at the first sign of anaphylaxis. The drug will help to slow the allergic reaction, but you must still seek medical attention. […] Most people rely on lifestyle changes to avoid flare-ups of their condition. However it doesn’t affect everyone in the same way. […] Before any medical or dental procedure or childbirth, tell your healthcare team that you have cold urticaria so they can keep you warm during the procedure.

• #45 Hives (Urticaria): Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/hives-inducible-urticaria

  Cold hives are quite an uncommon condition. An urticarial rash develops after being exposed to cold, including rain, cold winds and cold water. It may be the cold that triggers the rash, or the re-warming of the skin after coming in from the cold. […] The rash affects the chilled parts of the skin. If a large area of skin has been chilled, the rash can be very extensive. For example, swimming in cold water may cause a widespread and severe rash over most of the body that can cause dizziness or fainting. (For this reason, people who are known to develop cold hives should never go swimming alone.)

• #46 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #47

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  Assess the patient presenting with cold urticaria for symptoms, manifestations, and precipitating factors. […] There’s no definitive therapy for the treatment of cold urticaria. Patient education regarding the avoidance of cold stimuli or triggers is the best practice. […] Instruct patients who experience wheals to remove any cold, wet clothing touching the affected skin area and warm their skin temperature. […] According to the National Organization for Rare Disorders, individuals may attempt desensitization by repeated exposures to cold, such as regularly taking cold showers.

• #48 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #49 Cold urticaria

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cold-urticaria2/

  Cold urticaria occurs most frequently in young adults. If you think you have this condition, consult your doctor. Treatment usually includes preventive steps such as taking antihistamines and avoiding cold air and water. […] If you have skin reactions after cold exposure, see your doctor. Even if the reactions are mild, your doctor will want to rule out underlying conditions that may be causing the problem. […] The following tips may help prevent a recurrent episode of cold urticaria: Take an over-the-counter antihistamine before cold exposure. Take medications as prescribed. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first and see if you experience a skin reaction. Avoid ice-cold drinks and food to prevent swelling of your throat. If your doctor prescribed an epinephrine autoinjector (EpiPen, Auvi-Q, others), keep it with you to help prevent serious reactions. If you’re scheduled for surgery, talk with your surgeon beforehand about your cold urticaria. The surgical team can take steps to help prevent cold-induced symptoms in the operating room.

• #50

  https://perioperative.org.ua/index.php/prtmdc/article/view/118

  Cold urticaria (CU) is an allergic reaction that manifests itself as hives-like rashes or red spots in response to general or local cooling of the body. […] Patients with CU are recommended first of all not to overcool, to take warm showers, to wear warm clothes and a hat, and not to consume cold food and drinks. […] In patients with CU undergoing general anesthesia, premedication including antihistamines and corticosteroids is recommended, along with strict maintenance of perioperative normotermia.

• #51 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #52

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  Assess the patient presenting with cold urticaria for symptoms, manifestations, and precipitating factors. […] There’s no definitive therapy for the treatment of cold urticaria. Patient education regarding the avoidance of cold stimuli or triggers is the best practice. […] Instruct patients who experience wheals to remove any cold, wet clothing touching the affected skin area and warm their skin temperature. […] According to the National Organization for Rare Disorders, individuals may attempt desensitization by repeated exposures to cold, such as regularly taking cold showers.

• #53 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #54

  https://www.nursingcenter.com/journalarticle?Article_ID=3920706&Journal_ID=417221&Issue_ID=3920671

  Assess the patient presenting with cold urticaria for symptoms, manifestations, and precipitating factors. […] There’s no definitive therapy for the treatment of cold urticaria. Patient education regarding the avoidance of cold stimuli or triggers is the best practice. […] Instruct patients who experience wheals to remove any cold, wet clothing touching the affected skin area and warm their skin temperature. […] According to the National Organization for Rare Disorders, individuals may attempt desensitization by repeated exposures to cold, such as regularly taking cold showers.

• #55 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] Individualized care plans should consider the unique triggers and characteristics of urticaria in each patient. […] Regular communication with the healthcare team and ongoing patient education are essential components of successful urticaria management. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #56

  https://link.springer.com/article/10.1007/s40521-024-00366-9

  Patients at high risk of ColdA require not only comprehensive education but also regular medical follow-ups. The estimated duration of ColdU ranges from 4.8 to 7.9 years, but data on the persistence of ColdA risk are lacking. Education is crucial, as patients who are unaware of their condition’s risks are more vulnerable to life-threatening complications. Key educational points include: […] Consistent follow-ups with a specialist are essential for high-risk patients to ensure effective long-term management and monitoring of their condition.

• #57

  https://link.springer.com/article/10.1007/s40521-024-00366-9

  Patients at high risk of ColdA require not only comprehensive education but also regular medical follow-ups. The estimated duration of ColdU ranges from 4.8 to 7.9 years, but data on the persistence of ColdA risk are lacking. Education is crucial, as patients who are unaware of their condition’s risks are more vulnerable to life-threatening complications. Key educational points include: […] Consistent follow-ups with a specialist are essential for high-risk patients to ensure effective long-term management and monitoring of their condition.

• #58 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. […] Given the different possible cold triggers of CU, a detailed history and the use of confirmatory tests are required to appropriately establish the diagnosis. […] With cold stimuli being very common, under-diagnosis or misdiagnosis of this type of urticaria could lead to a significant impact on the quality of life of patients. […] Given that management strategies differ according to reaction severity, clinician’s should be aware of the different clinical presentations of CU. […] It is important to reassure patients on the usually benign course of the disease and to protect body surfaces when cold exposure is inevitable as well as to avoid rapid exposure to cold water. […] Treatment of cold urticaria involves education, avoidance of triggers and use of antihistamines and an epinephrine autoinjector in severe cases.

• #59 Cold-induced urticaria: challenges in diagnosis and management

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3736478/

  Cold-induced urticaria (CU) is a chronic physical urticaria that can be hard to diagnose and manage. […] Given the different possible cold triggers of CU, a detailed history and the use of confirmatory tests are required to appropriately establish the diagnosis. […] With cold stimuli being very common, under-diagnosis or misdiagnosis of this type of urticaria could lead to a significant impact on the quality of life of patients. […] Given that management strategies differ according to reaction severity, clinician’s should be aware of the different clinical presentations of CU. […] It is important to reassure patients on the usually benign course of the disease and to protect body surfaces when cold exposure is inevitable as well as to avoid rapid exposure to cold water. […] Treatment of cold urticaria involves education, avoidance of triggers and use of antihistamines and an epinephrine autoinjector in severe cases.

• #60 Cold Urticaria: Symptoms, Causes, and Treatment

  https://resources.healthgrades.com/right-care/skin-hair-and-nails/cold-urticaria

  Cold urticaria is an allergic response that develops after exposure to the cold. It most often presents as a rash or hives. The exact cause of cold urticaria is unknown. Still, treatment and management can be effective at alleviating symptoms. […] The main aim of cold urticaria treatment is to alleviate symptoms and prevent flare-ups. A key part of managing cold urticaria is learning and avoiding your personal triggers. To do this, you can start by recording your symptoms and note any activities that may have caused them. Once you have identified possible triggers, you can then take steps to avoid them or reduce their impact. […] If avoiding your triggers is difficult, medical therapies may also help. These can include: over-the-counter antihistamine medication, taken before exposure; prescription medications, such as omalizumab (Xolair); epinephrine pens (Epi-Pen, Adrenaclick, Twinject), in case of severe allergic reactions or anaphylaxis. Your doctor may prescribe an epinephrine pen and recommend carrying it with you at all times. Epinephrine can help stop anaphylaxis and reduce your symptoms. […] Treatments for cold urticaria include identifying and avoiding possible triggers and taking antihistamine medications.

• #61 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #62 Cold Allergy: Symptoms, Treatment, Prevention Tips, and More

  https://www.healthline.com/health/cold-allergy

  The medical term for hives that form on the skin when its exposed to the cold is cold urticaria (CU). A severe acute allergic reaction, called anaphylaxis, is possible if you have CU. […] There are ways to manage the condition. You may even be able to prevent symptoms from occurring. […] Severe symptoms of a cold urticaria that require immediate medical attention may include: anaphylaxis, which is a severe acute allergic reaction. […] Treatment will focus on reducing or managing symptoms. […] Depending on the severity of your condition, you may need to manage your condition before or after cold exposure. […] Medications like antihistamines can prevent or minimize the release of histamines when exposed to the cold. […] You may need to carry injectable epinephrine, for example EpiPen, if you experience severe or life-threatening symptoms, such as anaphylaxis, from cold exposure.

• #63 How to Deal with Cold Urticaria: 7 Steps (with Pictures) – wikiHow

  https://www.wikihow.com/Deal-with-Cold-Urticaria

  Although there is no cure for cold urticaria, medications such as prescription-strength non-drowsy antihistamines can certainly help. […] Prescription antihistamines are the primary medications used to treat cold urticaria, but other types of drugs are sometimes used „off-label” for the condition. […] Ask your doctor about epinephrine „pens” or auto-injectors (Epipen, Auvi-Q), which can be kept close by in case of severe symptoms of cold urticaria.

• #64 Urticaria and angioedema

  https://www.pcds.org.uk/patient-info-leaflets/urticaria-and-angioedema

  Cold urticaria is triggered by exposure to cold, including rain, wind, and cold water. People with cold urticaria must avoid swimming in cold water (this can be life-threatening), and must inform medical staff before undergoing operations so they can be kept warm during the procedure. […] Cold urticaria always requires further investigations and specialist management, including the provision of adrenaline pens.

• #65 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Cold urticaria is a relatively uncommon form of chronic inducible urticaria. Urticarial weals develop after being exposed to cold, cold water, and cold objects. […] Cold urticaria may be primary (idiopathic) or secondary to an underlying haematologic (blood condition) or infectious disease. Most cases are of the idiopathic (unknown cause) type. […] Symptoms of cold urticaria become evident within 25 minutes after exposure and last for 12 hours. They include itchy weals (urticaria) and angioedema that may be localised (affecting certain parts of the body) or generalised (rash over the whole body). […] Patients with cold urticaria should learn to protect themselves from a rapid drop in body temperature. Aquatic activities (such as swimming and surfing) should always be under supervision.

• #66 Urticaria and angioedema

  https://www.pcds.org.uk/patient-info-leaflets/urticaria-and-angioedema

  Cold urticaria is triggered by exposure to cold, including rain, wind, and cold water. People with cold urticaria must avoid swimming in cold water (this can be life-threatening), and must inform medical staff before undergoing operations so they can be kept warm during the procedure. […] Cold urticaria always requires further investigations and specialist management, including the provision of adrenaline pens.

• #67 Hives (Urticaria): Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/hives-inducible-urticaria

  Cold hives are quite an uncommon condition. An urticarial rash develops after being exposed to cold, including rain, cold winds and cold water. It may be the cold that triggers the rash, or the re-warming of the skin after coming in from the cold. […] The rash affects the chilled parts of the skin. If a large area of skin has been chilled, the rash can be very extensive. For example, swimming in cold water may cause a widespread and severe rash over most of the body that can cause dizziness or fainting. (For this reason, people who are known to develop cold hives should never go swimming alone.)

• #68 Yes, You Really Can Be „Allergic” to the Cold

  https://practicingclinicians.com/the-exchange/yes-you-really-can-be-allergic-to-the-cold-

  Cold-induced urticaria is a subtype of chronic inducible urticaria that affects approximately 0.05% of the global population. […] Diagnosis of cold urticaria is often made based on clinical history and positive ice cube test in the office. Treatment involves avoidance of cold triggers and the use of non-sedating, second-generation H1-antihistamines, often up to 4-times the normal dose. Patients should be prescribed an epinephrine autoinjector to manage any potentially severe anaphylactic reactions. […] Thus, it is important for providers to be aware of its presentation, recommended management options, and the overall lack of response to oral corticosteroids. Patients with cold urticaria and their caregivers should be educated on avoiding cold triggers and full-body immersion in cold water. They should also be educated on recognition of anaphylaxis and proper use of epinephrine autoinjectors. Prompt referral to an allergist to discuss symptoms and possible off-label use of omalizumab may be necessary in refractory cases.

• #69 Idiopathic Cold Urticaria

  https://www.patientcareonline.com/view/idiopathic-cold-urticaria

  For 6 months, a 19-year-old woman had had sensitivity to cold. […] Diagnosis is based on a typical history and a positive ice cube test. […] Antihistamines are the cornerstone of therapy for idiopathic cold urticaria. […] This patient was treated with cetirizine. Because total-body cold exposure (eg, swimming in cold water) may lead to full anaphylaxis and even death, she was also counseled on cold avoidance and advised to obtain a MedicAlert bracelet. In addition, autoinjectable epinephrine was prescribed.

• #70 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #71 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #72 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #73 Cold Urticaria – Allergy & Asthma Network

  https://allergyasthmanetwork.org/chronic-urticaria/cold-urticaria/

  Cold urticaria is a chronic skin condition that occurs after sudden exposure to anything cold swimming in cold water, drinking a cold beverage, eating ice cream, handling a cold object, going for a walk in frigid temperatures, or even walking into an air-conditioned room. […] If you’re diagnosed with cold urticaria, here are some strategies to avoid a repeat episode: Take an over-the-counter antihistamine before exposure to cold to help reduce the risk of symptoms. […] We invested in the warmest of outerwear and we carry epinephrine auto-injectors wherever we go in case she experiences a severe allergic reaction.

• #74

  https://link.springer.com/article/10.1007/s40521-024-00366-9

  Cold-induced anaphylaxis (ColdA) is a poorly understood form of anaphylaxis that occurs in patients with cold urticaria (ColdU). This comprehensive review aims to deepen the understanding of ColdA. It emphasizes the identification of high-risk ColdU patients susceptible to ColdA and provides recommendations for their effective management. […] ColdA is a major and potentially life-threatening concern for a subset of ColdU patients. Early recognition of high-risk patients, coupled with education and preparedness of both patients and healthcare providers, is crucial for effectively managing this challenging condition. […] Patients at high risk for anaphylaxis require provision of AAIs. The COLD-CE study highlighted that only a minority of ColdA patients received adrenaline during their anaphylaxis episode or were prescribed an AAI. Recommendations for prescribing AAIs vary: Yee et al. and Alangari et al. advised that all pediatric patients with ColdUT should have AAIs, while Katsarou-Katsari et al. extended this recommendation to all adult patients with ColdUT.

• #75 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #76 Urticaria and angioedema

  https://www.pcds.org.uk/patient-info-leaflets/urticaria-and-angioedema

  Cold urticaria is triggered by exposure to cold, including rain, wind, and cold water. People with cold urticaria must avoid swimming in cold water (this can be life-threatening), and must inform medical staff before undergoing operations so they can be kept warm during the procedure. […] Cold urticaria always requires further investigations and specialist management, including the provision of adrenaline pens.

• #77 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #78 Cold urticaria | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/cold-urticaria

  Cold urticaria occurs most often in young adults. If you think you have this condition, check in with your healthcare team. Treatment usually includes steps to keep cold urticaria from happening, such as taking antihistamines and staying away from cold air and water. […] If you have skin reactions after being exposed to the cold, see your healthcare professional. Even if the reactions are mild, your healthcare professional will want to rule out other conditions that may be causing the symptoms. […] These tips may help stop cold urticaria from happening: Take an antihistamine available without a prescription as directed before being exposed to the cold. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first to see if your skin responds. Stay away from ice-cold drinks and foods to keep your throat from swelling. If your healthcare professional prescribed an epinephrine autoinjector, keep it with you to help stop serious responses from happening. If you’re scheduled for surgery, talk with your surgeon ahead of time about your cold urticaria. The surgical team can take steps to help keep symptoms caused by cold from happening in the operating room.

• #79 Cold urticaria

  https://www.mymlc.com/health-information/diseases-and-conditions/c/cold-urticaria2/

  Cold urticaria occurs most frequently in young adults. If you think you have this condition, consult your doctor. Treatment usually includes preventive steps such as taking antihistamines and avoiding cold air and water. […] If you have skin reactions after cold exposure, see your doctor. Even if the reactions are mild, your doctor will want to rule out underlying conditions that may be causing the problem. […] The following tips may help prevent a recurrent episode of cold urticaria: Take an over-the-counter antihistamine before cold exposure. Take medications as prescribed. Protect your skin from the cold or sudden changes in temperature. If you’re going swimming, dip your hand in the water first and see if you experience a skin reaction. Avoid ice-cold drinks and food to prevent swelling of your throat. If your doctor prescribed an epinephrine autoinjector (EpiPen, Auvi-Q, others), keep it with you to help prevent serious reactions. If you’re scheduled for surgery, talk with your surgeon beforehand about your cold urticaria. The surgical team can take steps to help prevent cold-induced symptoms in the operating room.

• #80

  https://perioperative.org.ua/index.php/prtmdc/article/view/118

  Cold urticaria (CU) is an allergic reaction that manifests itself as hives-like rashes or red spots in response to general or local cooling of the body. […] Patients with CU are recommended first of all not to overcool, to take warm showers, to wear warm clothes and a hat, and not to consume cold food and drinks. […] In patients with CU undergoing general anesthesia, premedication including antihistamines and corticosteroids is recommended, along with strict maintenance of perioperative normotermia.

• #81 Cold Urticaria – Global Allergy & Airways Patient PlatformExpandExpandExpandExpandExpandExpandToggle MenuScroll to topScroll to topExpandExpandExpandExpandExpandExpand

  https://gaapp.org/diseases/urticaria/forms-of-urticaria/cold-urticaria

  If you are at risk of anaphylaxis, your doctor may also prescribe an epinephrine auto-injector for you to carry with you in case of emergency. This is a medical device that you can use to quickly administer a dose of epinephrine (adrenaline) at the first sign of anaphylaxis. The drug will help to slow the allergic reaction, but you must still seek medical attention. […] Most people rely on lifestyle changes to avoid flare-ups of their condition. However it doesn’t affect everyone in the same way. […] Before any medical or dental procedure or childbirth, tell your healthcare team that you have cold urticaria so they can keep you warm during the procedure.

• #82 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #83 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #84 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #85 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #86 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #87 Perioperative Management of a Patient with Cold Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5741599/

  Cold urticaria consists of an allergic immune response to cold temperatures with symptoms ranging from pruritic wheals to life-threatening angioedema, bronchospasm, or anaphylactic shock. […] Adequate planning to maintain normothermia perioperatively is vital due to impaired hypothalamic thermoregulation and overall depression of sympathetic outflow during deep sedation and general anesthesia. […] Patients with cold urticaria undergoing general anesthesia risk developing anaphylaxis unless strict perioperative normothermia is maintained. […] The objective was to maintain normothermia at all times. […] Proper preoperative management is critical to prevent catastrophic events, such as angioedema or anaphylaxis. […] The risk of severe reaction can be mitigated through careful planning for seamless perioperative normothermia, and preoperative prophylactic use of histamine 1 and histamine 2 receptor blockers and corticosteroids. […] Normothermia is best achieved with a single or multiple forced air warming blankets and careful monitoring of core and ambient temperature in the operating room. […] These aggressive steps will minimize the perioperative morbidity and mortality in patients with cold urticaria.

• #88 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #89 Yes, You Really Can Be „Allergic” to the Cold

  https://practicingclinicians.com/the-exchange/yes-you-really-can-be-allergic-to-the-cold-

  Cold-induced urticaria is a subtype of chronic inducible urticaria that affects approximately 0.05% of the global population. […] Diagnosis of cold urticaria is often made based on clinical history and positive ice cube test in the office. Treatment involves avoidance of cold triggers and the use of non-sedating, second-generation H1-antihistamines, often up to 4-times the normal dose. Patients should be prescribed an epinephrine autoinjector to manage any potentially severe anaphylactic reactions. […] Thus, it is important for providers to be aware of its presentation, recommended management options, and the overall lack of response to oral corticosteroids. Patients with cold urticaria and their caregivers should be educated on avoiding cold triggers and full-body immersion in cold water. They should also be educated on recognition of anaphylaxis and proper use of epinephrine autoinjectors. Prompt referral to an allergist to discuss symptoms and possible off-label use of omalizumab may be necessary in refractory cases.

• #90

  https://www.healio.com/news/allergy-asthma/20210809/omalizumab-effectively-treats-chronic-cold-urticaria

  Omalizumab effectively treated chronic cold urticaria and prevented further episodes of anaphylaxis, according to a single-center study published in The Journal of Allergy and Clinical Immunology: In Practice. […] However, in CCU, there is a risk for life-threatening anaphylaxis upon sudden exposure to cold in a large body surface area, Hartog said. One such situation could include jumping into a cold body of water. Because of this risk, we do counsel patients about the risk for anaphylaxis and prescribe an epinephrine autoinjector. […] Currently, the researchers said, there are no clear guidelines for specifically treating CCU or if it should be treated differently from chronic spontaneous urticaria, although second-generation nonsedating H1-antihistamines often are used as the first line of treatment.

• #91 24.4: Urticaria and Angioneurotic Edema – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/24%3A_Management_of_Patients_with_Allergic_Disorders/24.04%3A_Urticaria_and_Angioneurotic_Edema

  Discharge planning includes educating the patient and family on self-care at home and the importance of adhering to the treatment plan, correctly using medications, and minimizing exposure to triggering allergens and other substances that aggravate the reaction. Patients with any type of urticaria should have an EpiPen, as hives can progress to anaphylaxis.

• #92 Cold Urticaria: Symptoms, Causes, and Effective Home Remedies To Ease This Skin Condition

  https://www.netmeds.com/health-library/post/cold-urticaria-symptoms-causes-and-effective-home-remedies-to-ease-this-skin-condition?srsltid=AfmBOoo4QUVg8Dyccj4WkPA-VUi3W3P_aYW2HQOfaQIlKmLMNYgQO17i

  Cold urticaria is a skin condition characterized by an abnormal skin allergy or reaction to cold temperatures. People with this skin condition develop itchy, red hives, swelling, or welts on their skin after exposure to cold air, water, or objects. […] In serious cases, symptoms may include difficulty breathing, swelling of the tongue or throat, and lightheadedness. […] If your cold urticaria is milder, try some of these remedies to ease discomfort and speed up the healing process. […] Reduce time spent in cold environments. […] Wear protective clothing, such as gloves and scarves, to safeguard the skin from cold air. […] Use lukewarm water instead of cold for bathing or washing hands. […] Over-the-counter antihistamine creams or oral antihistamines can help ease itching and swelling.

• #93 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. […] The majority of patients with cold-induced urticaria (CIU) develop localized urticarial wheals or cutaneous angioedema within minutes of cold exposure. […] Awareness of this disease process should be of particular interest to emergency physicians as nearly 37% of individuals may experience systemic symptoms ranging from generalized urticaria to anaphylaxis. […] While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming. […] After complete resolution of his symptoms, the patient was provided education about cold urticaria and told to avoid water submersion.

• #94

  https://www.wyndly.com/blogs/learn/cold-urticaria?srsltid=AfmBOorXFuH-kTU0rV_JH6NMFge-EFKv61v1YrPPpzlTcYknnhFZq4f4

  You should consult a healthcare professional if you experience unexplained, recurring, or severe symptoms of cold urticaria. A doctor can provide a definitive diagnosis and recommend effective treatment strategies. […] The complications of cold urticaria primarily arise from severe allergic reactions. In the worst scenarios, individuals could experience anaphylaxis, a life-threatening condition that requires immediate medical attention.

• #95 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Patients should be counseled on avoiding over-exposure in cold weather and to avoid cold water submersion. […] If patients do not know their personal temperature threshold, counseling can include avoiding water temperatures less than 77F (25C), as temperatures above this threshold are generally considered safe for most patients. […] Patients who present with systemic or atypical symptoms should be prescribed an epinephrine autoinjector and referred to an allergy/immunology specialist for diagnostic testing and chronic management. […] Cold-induced urticaria is a rare disease process with the potential to carry significant morbidity and even mortality if it is not properly identified upon initial presentation to the ED. […] While the emergent management of CIU is similar to other causes of allergic response or anaphylaxis, recognition of cold exposure as an etiology is imperative as recurrent exposure, particularly during swimming, could be lethal.

• #96 Urticaria and angioedema

  https://www.pcds.org.uk/patient-info-leaflets/urticaria-and-angioedema

  Cold urticaria is triggered by exposure to cold, including rain, wind, and cold water. People with cold urticaria must avoid swimming in cold water (this can be life-threatening), and must inform medical staff before undergoing operations so they can be kept warm during the procedure. […] Cold urticaria always requires further investigations and specialist management, including the provision of adrenaline pens.

• #97 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. […] The majority of patients with cold-induced urticaria (CIU) develop localized urticarial wheals or cutaneous angioedema within minutes of cold exposure. […] Awareness of this disease process should be of particular interest to emergency physicians as nearly 37% of individuals may experience systemic symptoms ranging from generalized urticaria to anaphylaxis. […] While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming. […] After complete resolution of his symptoms, the patient was provided education about cold urticaria and told to avoid water submersion.

• #98 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Avoidance of triggers, supported by patient education and the identification of potential allergens, is integral to preventing recurrent outbreaks. […] The psychosocial impact of urticaria is addressed through psychosocial support, counseling, and education on coping strategies. […] Regular follow-up assessments and ongoing communication with the healthcare team are essential components of the care plan, allowing for adjustments based on the patients response and any changes in the condition.

• #99

  https://link.springer.com/article/10.1007/s40521-024-00366-9

  Patients at high risk of ColdA require not only comprehensive education but also regular medical follow-ups. The estimated duration of ColdU ranges from 4.8 to 7.9 years, but data on the persistence of ColdA risk are lacking. Education is crucial, as patients who are unaware of their condition’s risks are more vulnerable to life-threatening complications. Key educational points include: […] Consistent follow-ups with a specialist are essential for high-risk patients to ensure effective long-term management and monitoring of their condition.

• #100 24.4 Urticaria and Angioneurotic Edema – Medical-Surgical Nursing | OpenStax

  https://openstax.org/books/medical-surgical-nursing/pages/24-4-urticaria-and-angioneurotic-edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. Cold urticaria is either acquired or familial atypical, an autosomal dominant condition inherited from one affected parent. […] Nurses play an important role in managing care for patients with urticaria. The care plan should include performing an assessment to recognize and analyze cues, prioritizing hypotheses, generating solutions, taking action, and evaluating care and outcomes. If any outcomes have been deemed nonsatisfactory, then the nurse must reassess using the Clinical Judgment Measurement Model and start over with recognizing and analyzing cues and then following subsequent steps until a satisfactory outcome is reached.

• #101 24.4 Urticaria and Angioneurotic Edema – Medical-Surgical Nursing | OpenStax

  https://openstax.org/books/medical-surgical-nursing/pages/24-4-urticaria-and-angioneurotic-edema

  Cold urticaria is a subtype of urticaria triggered by exposure to cold. The cold can be from water, objects, or weather. The cold stimulates mast cells to release histamine, causing capillary and venous vasodilation that results in urticaria. Cold urticaria is either acquired or familial atypical, an autosomal dominant condition inherited from one affected parent. […] Nurses play an important role in managing care for patients with urticaria. The care plan should include performing an assessment to recognize and analyze cues, prioritizing hypotheses, generating solutions, taking action, and evaluating care and outcomes. If any outcomes have been deemed nonsatisfactory, then the nurse must reassess using the Clinical Judgment Measurement Model and start over with recognizing and analyzing cues and then following subsequent steps until a satisfactory outcome is reached.

• #102

  https://link.springer.com/article/10.1007/s40521-024-00366-9

  Patients at high risk of ColdA require not only comprehensive education but also regular medical follow-ups. The estimated duration of ColdU ranges from 4.8 to 7.9 years, but data on the persistence of ColdA risk are lacking. Education is crucial, as patients who are unaware of their condition’s risks are more vulnerable to life-threatening complications. Key educational points include: […] Consistent follow-ups with a specialist are essential for high-risk patients to ensure effective long-term management and monitoring of their condition.

• #103 Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department – The Western Journal of Emergency Medicine

  https://westjem.com/articles/anaphylaxis-caused-by-swimming-a-case-report-of-cold-induced-urticaria-in-the-emergency-department.html

  Patients should be counseled on avoiding over-exposure in cold weather and to avoid cold water submersion. […] If patients do not know their personal temperature threshold, counseling can include avoiding water temperatures less than 77F (25C), as temperatures above this threshold are generally considered safe for most patients. […] Patients who present with systemic or atypical symptoms should be prescribed an epinephrine autoinjector and referred to an allergy/immunology specialist for diagnostic testing and chronic management. […] Cold-induced urticaria is a rare disease process with the potential to carry significant morbidity and even mortality if it is not properly identified upon initial presentation to the ED. […] While the emergent management of CIU is similar to other causes of allergic response or anaphylaxis, recognition of cold exposure as an etiology is imperative as recurrent exposure, particularly during swimming, could be lethal.

• #104 Cold urticaria

  https://dermnetnz.org/topics/cold-urticaria

  Patients who develop anaphylactic reactions should carry emergency adrenaline. […] Regular doses of conventional antihistamines have generally proven to be ineffective, initially standard doses but if need be high doses of non-sedating antihistamines may be helpful (for example cetirizine up to 40 mg daily). […] Cautious induction of cold tolerance may be successful (desensitisation), by gradually hardening the skin to cold conditions and then exposing the skin to it regularly, for example, by taking regular cold showers. […] The anaesthetist should be told in advance that the patient has cold urticaria. Staff must take precautions to keep the patient warm. […] Cold urticaria usually lasts for some years. About 30% report resolution of symptoms within 5 to 10 years.

• #105 Urticaria (hives) – Allergy & Anaphylaxis Australia

  https://allergyfacts.org.au/__interest/urticaria/

  Urticaria due to allergic reactions: […] Urticaria from cold can be severe, especially when swimming in cold water. Some people have been known to have symptoms of anaphylaxis due to cold urticaria. […] People with chronic urticaria should be under the care of a doctor with specialist knowledge of this condition.

• #106 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] Individualized care plans should consider the unique triggers and characteristics of urticaria in each patient. […] Regular communication with the healthcare team and ongoing patient education are essential components of successful urticaria management. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #107 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Avoidance of triggers, supported by patient education and the identification of potential allergens, is integral to preventing recurrent outbreaks. […] The psychosocial impact of urticaria is addressed through psychosocial support, counseling, and education on coping strategies. […] Regular follow-up assessments and ongoing communication with the healthcare team are essential components of the care plan, allowing for adjustments based on the patients response and any changes in the condition.

• #108 Cold Urticaria – DoveMed

  https://www.dovemed.com/diseases-conditions/cold-urticaria

  Cold Urticaria is a common type of urticaria mostly seen in cold climates in which skin rashes develop following exposure of skin to cold environments. […] The body skin exposed to cold is typically affected. Intense itching may lead to skin ulceration and scarring, which can cause emotional stress from cosmetic concerns. […] The prognosis of Cold Urticaria with adequate treatment is usually good, although the condition can recur. […] The treatment depends upon the severity of the signs and symptoms and the type of Cold Urticaria. It primarily includes the avoidance of known triggers. […] Patient education in understanding the condition is beneficial. […] If cold exposure is anticipated, then prophylactic measures may be considered, such as the use of antihistamines (high-dose). […] Stress management for severe and chronic conditions is also important. […] Although Cold Urticaria may not be prevented, further and future flare-ups may be avoided, if the triggers that cause the condition are known and recognized.

• #109 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] Individualized care plans should consider the unique triggers and characteristics of urticaria in each patient. […] Regular communication with the healthcare team and ongoing patient education are essential components of successful urticaria management. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #110 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] They serve as a foundation for developing individualized care plans to manage symptoms, prevent complications, and improve the overall well-being of individuals experiencing urticaria.

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