How to Approach Chronic Inducible Urticaria

Marcus Maurer, Joachim W. Fluhr, David A. Khan

Research output: Contribution to journalReview articlepeer-review

54 Scopus citations


Chronic inducible urticaria (CIndU) is a group of chronic urticarias characterized by the appearance of recurrent wheals, recurrent angioedema or both, as a response to specific triggers. CIndU includes both physical (symptomatic dermographism, cold and heat urticaria, delayed pressure urticaria, solar urticaria, and vibratory urticaria) and nonphysical urticarias (cholinergic urticaria, contact and aquagenic urticaria). Here, we review the different forms of CIndU with an emphasis on symptomatic dermographism, cold urticaria, cholinergic urticaria, and delayed pressure urticaria. We discuss the clinical features, the diagnostic workup including provocation and threshold testing, and available treatment options.

Original languageEnglish (US)
Pages (from-to)1119-1130
Number of pages12
JournalJournal of Allergy and Clinical Immunology: In Practice
Issue number4
StatePublished - Jul 1 2018


  • Cholinergic urticaria
  • Chronic inducible urticaria
  • Cold urticaria
  • Symptomatic dermographism
  • TempTest

ASJC Scopus subject areas

  • Immunology and Allergy


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