Cholinergic Urticaria Associated with Hypohidrosis: Report of a Case and Review of the Literature

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  • SHIRAISHI Ken
    Division of Dermatology, Ehime Prefectural Central Hopital
  • MURAKAMI Shinji
    Department of Dermatology, Ehime University Graduate School of Medicine
  • HASHIMOTO Koji
    Department of Dermatology, Ehime University Graduate School of Medicine

Bibliographic Information

Other Title
  • 減汗症を伴ったコリン性蕁麻疹の１例
  • 症例 減汗症を伴ったコリン性蕁麻疹の1例
  • ショウレイ ゲンカンショウ オ トモナッタ コリンセイ ジンマシン ノ 1レイ
  • Report of a Case and Review of the Literature
  •  

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Abstract

A 21-year-old man developed tiny wheals surrounded by diffuse erythema associated with tingling or irritation after exercise or emotional stress. He had a positive acetylcholine skin test with numerous satellite lesions and generalized punctate urticaria following exercise challenge. Hypohidrosis was also found by these challenge tests. Thus, the diagnosis of cholinergic urticaria with hypohidrosis was made. Histological examination revealed no abnormalities, including the number and structure of sweat glands and ducts. Treatment consisted of advice to take hot baths for 1 week, resulting in an increase in sweating and improvement of symptoms. This treatment can be an option for therapy of cholinergic urticaria associated with hypohidrosis that is not controllable by various drugs.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 69 (4), 359-364, 2007

    Western Division of Japanese Dermatological Association

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