title: Pure Cold-Induced Cholinergic Urticaria in a Pediatric Patient.
abstract: Cold urticaria and cholinergic urticaria are two distinct entities. The presentation of exclusive cold-induced cholinergic urticaria is very rare. The patient described herein had experienced urticaria in the exclusive setting of exercising in a cold environment. Urticarial testing including laboratory and in-office testing was all negative. The patient has prevented urticaria symptoms with oral antihistamine therapy. Pure cold-induced cholinergic urticaria is rarely described in literature. This form of urticaria has yet to be described in a pediatric patient.
authors.affiliation: Department of Allergy and Immunology, University Hospitals, Regional Hospitals, Richmond Heights, OH, USA.
authors.forename: Tina
authors.initials: T
authors.lastname: Abraham
authors.affiliation: Department of Pediatrics, Akron Children's Hospital, Akron, OH, USA.
authors.forename: David P
authors.identifier: 0000-0002-8342-4583
authors.initials: DP
authors.lastname: McGarry
authors.affiliation: Department of Allergy and Immunology, University Hospitals, Regional Hospitals, Richmond Heights, OH, USA.
authors.forename: John
authors.initials: J
authors.lastname: Frith
authors.affiliation: Department of Allergy and Immunology, University Hospitals, Regional Hospitals, Richmond Heights, OH, USA.
authors.forename: Jason
authors.identifier: 0000-0002-1140-7127
authors.initials: J
authors.lastname: Casselman
authors.affiliation: Allergy/Immunology Associates, Inc., Mayfield Heights, OH, USA.
authors.forename: Haig
authors.initials: H
authors.lastname: Tcheurekdjian
authors.affiliation: Allergy/Immunology Associates, Inc., Mayfield Heights, OH, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Hostoffer