Mehmet KILIÇ, Erdal TAŞKIN, Leyla BULUT

Soğukla Uyarılan Ürtiker: Bir Olgu Sunumu

Fiziksel ürtiker; egzersiz, soğuk, sıcak, basınç, güneş ışığı, vibrasyon, ve su gibi çeşitli spesifik dış uyaranlara karşı gelişen bir ürtiker grubudur. Soğuk ürtikeri, tüm fiziksel ürtiker tipleri arasında semptomatik dermografizmden sonra ikinci sıklıkta görülür. Soğuk hava ve soğuk su ile temas sonrası ellerinde kızarıklık, şişlik, kaşıntı şikâyetleri olan ve soğuk ürtiker tanısı alan 16 yaşında kız hasta sunulmuştur. Hastanın fizik muayenesi ve laboratuvar testlerinde patolojik bulgu saptanmadı. Hastanın ön kol yüzeyine beş dakika süre ile buz küpü uygulandı. Buz kaldırıldıktan sonra üç dakika sonra uygulanan bölgede şişlik, kızarıklık, kaşıntı gözlenen hastaya soğuk ürtiker tanısı konuldu ve öneriler ile birlikte antihistaminik tedavisi başlandı. Hastanın izleminde şikâyetlerinde azalma saptandı. Hekimlerin soğuk ürtiker dâhil fiziksel ürtiker alt grupları hakkında farkındalıklarının artması, bu grup hastalıkların tanı ve tedavisine yardımcı olacağını düşünüyoruz.

Cold-Induced Urticaria: A Case Report

Physical urticaria is a group that develops against various specific external stimuli, including exercise, cold, heat, pressure, sunlight, vibration, and water. Cold urticaria is the second most common after then symptomatic dermographism among all types of physical urticaria. A 16 years old female patient with complaints of redness, swelling, and itching in her hands after contact with cold air and cold water, which was eventually diagnosed with cold urticaria, is presented. No pathological findings were found in the physical examination and laboratory tests of the patient. Ice cube was applied to the forearm surface of the patient for five minutes. Three minutes after removing the ice, the patient was found to have swelling, redness, and itching in the ice applied area. The patient was diagnosed with cold urticaria and was started antihistamine therapy with the recommendations. Her complaints were decreased during the follow-up visits. We think that increasing physicians' awareness about physical urticaria subgroups, including cold urticaria, will help the diagnosis and treatment of these diseases.

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