Successful Treatment of Disabling Cholinergic Urticaria

Authors: Feinberg, Jeff H.¹; Toner, Charles B.²

Source: Military Medicine, Volume 173, Number 2, February 2008 , pp. 217-220(4)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

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Abstract:

A 22-year-old African American U.S. sailor presented with an intermittent pruritic eruption precipitated by mild activity for the last 2 years. She developed an extremely pruritic papular rash that would quickly coalesce into larger wheals following any exercise, light activity such as vacuuming, or taking hot showers. This condition had been getting progressively worse, preventing her from successfully completing her physical readiness test and other required physical training for the last 2 years. Previous treatment with antihistamines and steroids had failed to control her symptoms. She was diagnosed with cholinergic urticaria, successfully controlled with a combination of cetirizine, montelukast, and propanolol. She has since been returned to full military duty and is able to exercise regularly.

Document Type: Research article

Affiliations: 1: Marine Helicopter Squadron One, 2100 Rowell Road, Quantico, VA 22134. 2: National Naval Medical Center, 8901 Rockville Pike Road, Bethesda, MD 20889.

Publication date: 2008-02-01

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Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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