Associated Measures
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19/01/2026
Cold Desensitization
Given the low level of evidence, the risk of severe systemic reactions, and the constraining and suspensive nature, cold desensitization is not recommended by the working group.
Therapeutic Education
Despite the absence of studies reporting the benefit of therapeutic education for patients with cold urticaria, the working group emphasizes the importance of reminding patients about the main triggering factors and situations that require particular vigilance. Therapeutic education will include the learning/use of auto-injectable adrenaline.
Information sheet to be Provided
In this regard, the working group suggests a sheet to be given to patients, summarizing the main cold avoidance measures
In Case of Surgery
It is important to inform the anesthesiologist and to minimize temperature differences as much as possible (warm up the operating room, warm up infusion fluids and materials in contact with the patient, etc.).
Professional Context
When cold urticaria occurs in a professional context, it is important to contact the occupational physician to schedule a dedicated consultation.
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