{"pk":1048,"title":"Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department","subtitle":null,"abstract":"Introduction: \nCold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. While most cases are idiopathic, secondary associations with infections, medications, and certain cancers have been described.\nCase Report:\n We discuss the case of a 50-year-old male with recent episodes of urticaria from cold air exposure following a flu-like illness six months prior, who presented with symptoms of anaphylaxis upon jumping into a lake.\nConclusion:\n While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"physical urticaria"},{"word":"cold-induced urticaria"},{"word":"anaphylaxis"},{"word":"angioedema"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5fr2d1pj","frozenauthors":[{"first_name":"Nicholas","middle_name":"","last_name":"McManus","name_suffix":"","institution":"Mercy Health Hospital, Department of Emergency Medicine, Muskegon, Michigan","department":"None"},{"first_name":"Robert","middle_name":"","last_name":"Zehrung","name_suffix":"","institution":"Mercy Health Hospital, Department of Emergency Medicine, Muskegon, Michigan","department":"None"},{"first_name":"Trevor","middle_name":"","last_name":"Armstrong","name_suffix":"","institution":"Mercy Health Hospital, Department of Emergency Medicine, Muskegon, Michigan","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Offman","name_suffix":"","institution":"Mercy Health Hospital, Department of Emergency Medicine, Muskegon, Michigan","department":"None"}],"date_submitted":"2021-07-25T07:35:26+01:00","date_accepted":"2021-07-25T07:35:26+01:00","date_published":"2021-07-25T22:24:26+01:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1048/galley/790/download/"}]}