Research Article

Cholinergic Urticaria: Clinical Presentation and Natural History in a Tropical Country

Table 1

Characteristics and course of cholinergic urticaria in our 16 patients.

CharacteristicsNumber (%)

Sex
 Male9 (56.3%)
 Female7 (43.7%)
Mean age of onset (yr) (15, 56)
Mean duration of cholinergic urticaria (yr)4.9
Associated other urticaria
 Chronic spontaneous urticaria4 (25.0%)
 Dermographism3 (18.8%)
 Cold urticaria2 (12.5%)
 Cold urticaria and dermographism1 (6.3%)
Angioedema1 (6.3%)
History of anaphylaxis0
Personal history of atopy3 (18.8%)
 Allergic rhinitis2 (12.5%)
 Asthma1 (6.3%)
 Allergic conjunctivitis0
 Atopic dermatitis0
Treatment#
 sAH1
  Hydroxyzine (2)4 (25%)
 nsAH1
  Cetirizine (1-2)7 (43.8%)
  Loratadine (1-2)6 (37.5%)
  Fexofenadine (1-2)12 (75%)
  Levocetirizine (1)1 (6.3%)
  Desloratadine (1-2)2 (12.5%)
  Bilastine (2)2 (12.5%)
 AH2
  Ranitidine (2)4 (25%)
Remission (at the time of study)
 Yes6 (37.5%)
 No10 (62.5%)
Mean disease duration (in 6 cases with remission, yr) (0.3, 13.0)

The data were shown as (minimum, maximum) or number (%). Abbreviations: AH2: H2 receptor antagonist; CSU: chronic spontaneous urticaria; nsAH1: nonsedating H1 antihistamine; sAH1: sedating H1 antihistamine; yr: year. #One patient might have one or more medications. The number of tablets per day.