AI Summary & Key Takeaways
AI InsightHere we present an adolescent female patient diagnosed with CU and AU.
📌 3 Key Takeaways
Özet
Physical urticaria is a heterogeneous group of inducible conditions in which symptoms are induced by exogenous physical triggers suchas cold, water, heat, and mechanical stimuli, acting on the skin. Our case involves a sixteen-year-old female patient who presented witherythema, small wheals and pruritus on her skin after contact with water and cold. After conducting water and ice cube provocation testsin addition to her medical history and physical examination, the patient was diagnosed with aquagenic urticaria (AU) and cold urticaria(CU). Her complaints had started 20 days before presentation. Regardless of the temperature and the source of water, her symptomsincreased after contact with water, and the physical examination disclosed thoracic scoliosis. Symptoms were significantly relievedafter one month of antihistamine and liquid petrolatum treatment. However, the patient developed complaints of urticaria, itching andangioedema in the contact areas of the body after contact with cold air, cold water, and cold objects in the winter season. She was testedwith ice cubes and the result was positive. We started treatment with omalizumab, and her symptoms improved at the eighth week of thistreatment. Here we present an adolescent female patient diagnosed with CU and AU.