# Cold-Induced Urticaria in a Paediatric Patient: A Case Report and Literature Review

## TL;DR

This paper reports a rare case of cold-induced hives in a child and reviews how to diagnose and manage this condition.

## Contribution

The novelty lies in presenting a pediatric case and emphasizing the importance of recognizing this rare condition to prevent severe reactions.

## Key findings

- Cold-induced urticaria is rare and often underdiagnosed in children.
- The case highlights the importance of proper diagnosis to avoid anaphylaxis.
- Diagnostic exams and management strategies are reviewed for clinical guidance.

## Abstract

Acquired cold-induced urticaria is a rare form of physical urticaria, especially in children. The variety of clinical presentations and the low estimated prevalence contribute to its underdiagnosis. Given the associated risk of anaphylaxis, it is crucial to alert clinicians to the different forms of presentation, diagnosis, and treatment. Starting with a case report of acquired cold-induced urticaria in a previously healthy nine-year-old boy, the authors then review the literature about acquired cold-induced urticaria and discuss the diagnostic exams and disease management.