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Cholinergic urticaria: what it is, how to recognize it and how to treat it


Cholinergic urticaria is a particular type of urticaria that tends to strike for reasons other than those normally known. Let’s find out what it is and how to cure it.

When we talk about cholinergic urticaria we mean a form of physical urticaria which instead of having an allergic origin usually depends on a feverish state or immediate heat. It usually occurs mostly at a young age but can also occur in adults and for reasons unrelated to fever. A problem that is therefore important to recognize from the first manifestations in order to implement the right solutions aimed at making it regress in the shortest possible time.

Cholinergic urticaria: symptoms to recognize

The symptoms of heat urticaria are very similar to those of the common urticaria.


Typically, wheals or bubbles similar to mosquito bites appear that are usually itchy. Going to the reasons, in the case of cholinergic urticaria, among the most common causes, in addition to fever, there is the rise in temperature that can occur following a run , a strong emotion or a hot shower.

However, this type of physical urticaria can also occur following the intake of alcohol or spicy foods that are known to raise the body temperature.

Cholinergic urticaria: treatment and therapy

Once you have found that you have cholinergic urticaria, the most suitable therapy is usually to try to prevent any possible reason for a rise in temperature. It is therefore very important not to settle in hot environments. Furthermore, you must not run or become unnecessarily hot and always wear breathable garments that do not lead the skin to overheat. Alcohol and foods known to raise the temperature should also be avoided.

If you are already in the heart of the problem, it may instead be useful to take a bath or shower with cold water. All this in order to immediately cool the skin. Alternatively, ice or cooling solutions can be applied. For cholinergic urticaria, a proper therapy does not yet exist. In any case, it may be useful to consult with your doctor in order to sift through all the possible options and find a way to learn to live with them.

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