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CASE REPORTS
JOURNAL ARTICLE
Idiopathic edema, a condition associated with pelvic pain and other symptoms in women, as a remedial cause of chronic cold induced urticaria.
PURPOSE: To determine if the treatment of cold induced urticaria refractory to conventional antihistamine-type therapy would respond to treatment with sympathomimetic amines.
METHODS: Dextroamphetamine sulfate (15 mg) extended release capsules were prescribed to be taken daily in the morning.
RESULTS: The cold-induced urticaria completely disappeared and antihistamine therapy was discontinued.
CONCLUSIONS: Treatment of chronic refractory cold-induced urticaria effectively responds to treatment with sympathomimetic amines similar to other cases of chronic refractory urticaria that are not merely cold induced. Manifestation of idiopathic orthostatic edema, a condition predominantly of women, should always be considered in the differential diagnosis of baffling medical conditions.
METHODS: Dextroamphetamine sulfate (15 mg) extended release capsules were prescribed to be taken daily in the morning.
RESULTS: The cold-induced urticaria completely disappeared and antihistamine therapy was discontinued.
CONCLUSIONS: Treatment of chronic refractory cold-induced urticaria effectively responds to treatment with sympathomimetic amines similar to other cases of chronic refractory urticaria that are not merely cold induced. Manifestation of idiopathic orthostatic edema, a condition predominantly of women, should always be considered in the differential diagnosis of baffling medical conditions.
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