Nadi̇r Bi̇r Fi̇zi̇ksel Ürti̇ker Nedeni̇: Soğuk Ürtiker

Soğuk ürtikeri, soğuğa maruziyet sonrası ürtiker ve/veya anjioödem gelişimi ile karakterizedir. Soğuk içecekler, soğukhava ve soğuk nesneler soğuk ürtikerini tetikleyen faktörlerdir. Soğuk ile temas eden cilt yüzeyi geniş ise, sistemikreaksiyonlar gelişebilir. Hipereozinofilik sendrom ve hipotiroidi tanıları ile takipli 12 yaşında erkek hasta soğuğa maruziyetsonrası tekrarlayan şişlik, kaşıntı, kızarıklık şikayeti ile polikliniğimize başvurdu. Sonrasında soğuk havada ve soğuksuya girince vücudunda şişlik, kızarıklık ve kaşıntı şikayetleri tekrarlamıştı. Hepatit markerları ve kriyoglobülini negatifidi. Hastaya yapılan buz-küp testi pozitif bulundu. Bu olgu nadir görülen bir fiziksel ürtiker çeşidi olan soğuk ürtikerinihatırlatmak için sunulmuştur.

A Rare Cause of Physical Urticaria: Cold Urticaria

Cold urticaria is characterized by the development of urticaria and/or angioedema after cold exposure. Cold drinks,cold air and cold objects are triggering factors of cold urticaria. Extensive cold contact of large areas of skin maylead to systemic reaction. The 12-year-old male patient who was followed up with a diagnosis of hypereosinophilicsyndrome and hypothyroidism presented to our outpatient clinic with complaints of swelling, erythema and pruritusafter exposure to cold. The patient s face, hands and feet had developed swelling, erythema and pruritus afterexposure to snow, after he entered cold water, and in cold air, for the last six months. Hepatitis markers andcryoglobulin were negative. An ice cube test was performed and found positive. This case is presented to remind coldurticaria, a rare type of physical urticaria.

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