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>Hello Sohib EditorOnline, have you ever experienced hives or swelling after being exposed to cold temperature? If yes, then you might be suffering from a condition called cold urticaria, which is an allergy to cold temperature. In this article, we will discuss everything you need to know about cold urticaria and how you can get rid of it permanently.

What is Cold Urticaria?

Cold urticaria is a rare allergic condition where the skin reacts to cold temperature by developing hives, swelling, and itching. Cold urticaria can affect any part of the body that is exposed to cold temperature, such as hands, feet, face, and even the whole body in severe cases. This condition is triggered by exposure to cold temperature, such as swimming in cold water, walking in cold weather, or holding cold objects.

What Causes Cold Urticaria?

The exact cause of cold urticaria is unknown, but it is believed to be caused by a hypersensitivity reaction of the immune system to cold temperature. The reaction causes the release of histamine and other chemicals that cause the skin to develop hives, swelling, and itching. Cold urticaria can also be triggered by certain medications, infections, or underlying medical conditions.

Who is at Risk of Developing Cold Urticaria?

Cold urticaria can affect anyone, but it is more common in young adults between the ages of 18-25. People who have a family history of cold urticaria or other allergies are also at higher risk of developing this condition. Cold urticaria can also be triggered by other underlying medical conditions, such as thyroid disorders, autoimmune diseases, or viral infections.

Symptoms of Cold Urticaria

The symptoms of cold urticaria usually appear within a few minutes after exposure to cold temperature and can last for several hours. The symptoms can vary from mild to severe and can include:

Mild Symptoms	Severe Symptoms
Hives	Difficulty breathing
Swelling	Loss of consciousness
Itching	Low blood pressure
Burning or stinging sensation	Rapid heartbeat

If you experience any of these symptoms after exposure to cold temperature, then you might be suffering from cold urticaria. It is important to seek medical attention immediately if you experience severe symptoms, as it can be life-threatening.

Diagnosis of Cold Urticaria

The diagnosis of cold urticaria is usually based on your medical history, symptoms, and physical examination. Your doctor may also perform a cold stimulation test, where a small amount of ice is placed on your skin to see if it triggers a reaction. In some cases, your doctor may order blood tests or skin biopsies to rule out other underlying medical conditions.

Treatment of Cold Urticaria

There is no cure for cold urticaria, but there are several ways to manage the symptoms and prevent further episodes. The treatment options for cold urticaria include:

1. Avoid Cold Temperature

The most effective way to prevent cold urticaria is to avoid exposure to cold temperature as much as possible. This may include wearing warm clothing, avoiding swimming in cold water, or staying indoors during cold weather.

2. Antihistamines

Antihistamines are medications that can help reduce the symptoms of cold urticaria by blocking the release of histamine in the body. Over-the-counter antihistamines, such as loratadine and cetirizine, can be effective in mild cases. In severe cases, your doctor may prescribe stronger antihistamines, such as fexofenadine or hydroxyzine.

3. Immunosuppressants

In some cases, your doctor may prescribe immunosuppressant medications, such as cyclosporine or omalizumab, to help reduce the immune system’s reaction to cold temperature. These medications are usually reserved for severe cases where other treatments have failed.

4. Epinephrine Injection

In rare cases of severe cold urticaria, your doctor may prescribe an epinephrine injection, which can help reduce swelling and prevent anaphylaxis.

Tips to Prevent Cold Urticaria

Here are some tips to prevent cold urticaria:

1. Dress Warmly

Wear warm clothing, such as gloves, hats, and socks, when you are exposed to cold temperature.

2. Avoid Cold Water

Avoid swimming in cold water, such as oceans or lakes, and take warm showers instead of cold showers.

3. Keep Your Home Warm

Keep your home warm during cold weather by turning up the thermostat or using a space heater.

4. Use Warm Water Bottles

Use warm water bottles or heating pads to warm your body before going outside in cold weather.

FAQ

1. Can Cold Urticaria be Cured?

There is no cure for cold urticaria, but the symptoms can be managed with medications and lifestyle changes.

2. How Long Does Cold Urticaria Last?

The symptoms of cold urticaria can last for several hours, but the duration may vary depending on the severity of the condition and the individual’s response to treatment.

3. Is Cold Urticaria Contagious?

No, cold urticaria is not contagious and cannot be transmitted from one person to another.

4. Can Cold Urticaria be Life-threatening?

Yes, severe cases of cold urticaria can be life-threatening if not treated promptly. Anaphylaxis can occur, which is a severe allergic reaction that can cause difficulty breathing, loss of consciousness, and even death.

5. Can Cold Urticaria Develop at Any Age?

Yes, cold urticaria can develop at any age, but it is more common in young adults between the ages of 18-25.

Conclusion

Cold urticaria can be a frustrating and uncomfortable condition to deal with, but with the right treatment and lifestyle changes, it can be managed effectively. If you suspect that you have cold urticaria, it is important to seek medical attention to get an accurate diagnosis and treatment plan. By following the tips and advice outlined in this article, you can prevent further episodes of cold urticaria and live a comfortable and healthy life.

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