Cholinergic urticaria in a jogger: Ruling out exercise-induced anaphylaxis

Cholinergic urticaria is a systemic response to a rise in core temperature that can be brought on by exercise, as in this case of a 24-year-old jogger. Many cases, however, are mild. The exact pathophysiology for the release of histamines is unknown, but the resulting rash can be distressing for pat...

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Bibliographic Details
Published in:The Physician and sportsmedicine 2003-06, Vol.31 (6), p.32-36
Main Authors: SWEENEY, Tod M, DEXTER, William W
Format: Article
Language:English
Subjects:
Allergic diseases
Biological and medical sciences
Case studies
Climate
Exercise
Immunopathology
Individualized Instruction
Medical sciences
Patient Education
Patients
Running
Skin allergic diseases. Stinging insect allergies
Symptoms (Individual Disorders)
Citations: Items that this one cites
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Summary:Cholinergic urticaria is a systemic response to a rise in core temperature that can be brought on by exercise, as in this case of a 24-year-old jogger. Many cases, however, are mild. The exact pathophysiology for the release of histamines is unknown, but the resulting rash can be distressing for patients. The challenge for physicians is to differentiate exercise-induced urticaria from exercise-induced anaphylaxis, a potentially life-threatening condition. Effective management includes patient education, antihistamine use, if needed, and avoidance of precipitating triggers, such as strenuous exercise or hot showers.
ISSN:0091-3847
2326-3660
DOI:10.1080/00913847.2003.11440606