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Órgano Oficial del Hospital Angeles Health System

2007, Number 3

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Acta Med 2007; 5 (3)

Cholinergic urticaria induced by exercise

Domínguez CLG, Arellano AJG

Language: Spanish
References: 41
Page: 149-152
PDF size: 77.46 Kb.


ABSTRACT

Cholinergic urticaria induced by exercise is manifested by 2 to 4 mm punctuate papules and/or pruritic macular erythema; it can be followed by dyspnea, angioedema and hypotension. Since the original case description in 1979, more than 1,000 cases have been described in the literature. It is frequently in young people under 40’ years old, and its presentation is similar in males and females. Prevalence has a range from 0.2 to 0.7%.The specific etiology of exercise-induced cholinergic urticaria is unclear. It is likely that vasoactive mediators released by mast cells degranulation are responsible for the symptoms and an increase in plasma histamine levels and tryptase has been demonstrated. The lesions are known to occur during 2 to 20 minutes of exercise; Antihistamines drugs are partially effective in preventing exercise-induced anaphylaxis. Modification of activities and behaviors is the mainstay of treatment in patients with exercise-induced cholinergic urticaria. We present a 36 years old female case with this diagnosis.


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