J Asthma Allergy Clin Immunol.  2001 Apr;21(2):250-254.

A case of cold urticaria showing metachromasia in skin biopsy

Affiliations
  • 1Department of Internal Medicine, Seonam University College of Medicine, Kwangju, Korea. jas877@chollian.net
  • 2Department of Pathology, Seonam University College of Medicine, Kwangju, Korea.

Abstract

The patient was a 24-year-old male who complained of urticaria upon exposure to cold air and after showering in cold water. Allergic skin tests were positive for cockroach. To determine whether he had cold urticaria, we performed an ice cube test. The patient complained of pruritus, erythema, and wheals appeared at 10min. Skin biopsy specimens collected 10 minutes after ice-cube test showed perivascular mononuclear cell infiltration and edema in hematoxylin and eosin stains, and metachromatic cell and degranulation in toluidine blue stain.

Keyword

cold urticaria; ice cube test; metachromatic cell

MeSH Terms

Biopsy*
Cockroaches
Coloring Agents
Edema
Eosine Yellowish-(YS)
Erythema
Hematoxylin
Humans
Ice
Male
Pruritus
Skin Tests
Skin*
Tolonium Chloride
Urticaria*
Water
Young Adult
Coloring Agents
Eosine Yellowish-(YS)
Hematoxylin
Ice
Tolonium Chloride
Water
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