Pressure Urticaria Clinical Presentation

1. Barlow RJ, Warburton F, Watson K, Black AK, Greaves MW. Diagnosis and incidence of delayed pressure urticaria in patients with chronic urticaria. J Am Acad Dermatol. 1993 Dec. 29(6):954-8. [QxMD MEDLINE Link].

2. Abajian M, Schoepke N, Altrichter S, Zuberbier T, Maurer M. Physical urticarias and cholinergic urticaria. Immunol Allergy Clin North Am. 2014 Feb. 34(1):73-88. [QxMD MEDLINE Link].

3. Maurer M, Fluhr JW, Khan DA. How to Approach Chronic Inducible Urticaria. J Allergy Clin Immunol Pract. 2018 Jul - Aug. 6 (4):1119-1130. [QxMD MEDLINE Link].

4. Commins SP, Kaplan AP. Immediate pressure urticaria. Allergy. 2002 Jan. 57(1):56-7. [QxMD MEDLINE Link].

5. Cassano N, Mastrandrea V, Vestita M, Vena GA. An overview of delayed pressure urticaria with special emphasis on pathogenesis and treatment. Dermatol Ther. 2009 Nov. 22 Suppl 1:S22-6. [QxMD MEDLINE Link].

6. Lawlor F, Black AK. Delayed pressure urticaria. Immunol Allergy Clin North Am. 2004 May. 24(2):247-58, vi-vii. [QxMD MEDLINE Link].

7. Jain S. Pathogenesis of chronic urticaria: an overview. Dermatol Res Pract. 2014. 2014:674709. [QxMD MEDLINE Link].

8. Kaplan AP, Horakova Z, Katz SI. Assessment of tissue fluid histamine levels in patients with urticaria. J Allergy Clin Immunol. 1978 Jun. 61(6):350-4. [QxMD MEDLINE Link].

9. Weins AB, Mourantchanian V, Eyerich S, Biedermann T, Brockow K. Delayed bullous pressure urticaria: the puzzling role of eosinophils. J Dtsch Dermatol Ges. 2018 Oct. 16 (10):1253-1255. [QxMD MEDLINE Link].

10. Kerstan A, Rose C, Simon D, et al. Bullous delayed pressure urticaria: pathogenic role for eosinophilic granulocytes?. Br J Dermatol. 2005 Aug. 153(2):435-9. [QxMD MEDLINE Link].

11. Lawlor F, Bird C, Camp RD, et al. Increased interleukin 6, but reduced interleukin 1, in delayed pressure urticaria. Br J Dermatol. 1993 May. 128(5):500-3. [QxMD MEDLINE Link].

12. Frezzolini A, De Pità O, Cassano N, D'Argento V, Ferranti G, Filotico R. Evaluation of inflammatory parameters in physical urticarias and effects of an anti-inflammatory/antiallergic treatment. Int J Dermatol. 2002 Jul. 41(7):431-8. [QxMD MEDLINE Link].

13. Di Lorenzo G, Pacor ML, Mansueto P, et al. Is there a role for antileukotrienes in urticaria?. Clin Exp Dermatol. Mar 2006. 31(3):327-34.

14. Jagodzinska J, Polaniak R, Birkner E, Kasperska-Zajac A. Analysis of circulating vascular endothelial growth factor and its soluble receptors in patients with different forms of chronic urticaria. Biomed Res Int. 2015. 2015:578383. [QxMD MEDLINE Link].

15. Kasperska-Zajac A, Brzoza Z, Rogala B. Increased concentration of platelet-derived chemokines in serum of patients with delayed pressure urticaria. Eur Cytokine Netw. 2008 Jun. 19(2):89-91. [QxMD MEDLINE Link].

16. Kasperska-Zajac A, Jasinska T. Analysis of plasma D-dimer concentration in patients with delayed pressure urticaria. J Eur Acad Dermatol Venereol. 2011 Feb. 25(2):232-4. [QxMD MEDLINE Link].

17. Kasperska-Zajac A, Jasinska T, Grzanka A, Kowalik-Sztylc A. Markers of systemic inflammation in delayed pressure urticaria. Int J Dermatol. 2013 Mar. 52(3):309-10. [QxMD MEDLINE Link].

18. Jasinska T, Grzanka A, Machura E, Kasperska-Zajac A. Is delayed pressure urticaria associated with increased systemic release of sCD40L?. Biomed Res Int. 2013. 2013:823798. [QxMD MEDLINE Link].

19. Czecior E, Grzanka A, Kurak J, Misiolek M, Kasperska-Zajac A. Late Dysphagia and Dyspnea as Complications of Esophagogastroduodenoscopy in Delayed Pressure Urticaria: Case Report. Dysphagia. 2011 Jun 5. [QxMD MEDLINE Link].

20. Magerl M, Altrichter S, Borzova E, Giménez-Arnau A, Grattan CE, Lawlor F, et al. The definition, diagnostic testing, and management of chronic inducible urticarias - The EAACI/GA(2) LEN/EDF/UNEV consensus recommendations 2016 update and revision. Allergy. 2016 Jun. 71 (6):780-802. [QxMD MEDLINE Link].

21. Dover JS, Black AK, Ward AM, Greaves MW. Delayed pressure urticaria. Clinical features, laboratory investigations, and response to therapy of 44 patients. J Am Acad Dermatol. 1988 Jun. 18(6):1289-98. [QxMD MEDLINE Link].

22. Grob JJ, Revuz J, Ortonne JP, Auquier P, Lorette G. Comparative study of the impact of chronic urticaria, psoriasis and atopic dermatitis on the quality of life. Br J Dermatol. 2005 Feb. 152 (2):289-95. [QxMD MEDLINE Link].

23. Champion RH. Urticaria: then and now. Br J Dermatol. 1988 Oct. 119(4):427-36. [QxMD MEDLINE Link].

24. Morioke S, Takahagi S, Iwamoto K, Shindo H, Mihara S, Kameyoshi Y. Pressure challenge test and histopathological inspections for 17 Japanese cases with clinically diagnosed delayed pressure urticaria. Arch Dermatol Res. 2010 Oct. 302(8):613-7. [QxMD MEDLINE Link].

25. Barlow RJ, Ross EL, MacDonald D, Black AK, Greaves MW. Adhesion molecule expression and the inflammatory cell infiltrate in delayed pressure urticaria. Br J Dermatol. 1994 Sep. 131(3):341-7. [QxMD MEDLINE Link].

26. Barlow RJ, Ross EL, MacDonald DM, Kobza Black A, Greaves MW. Mast cells and T lymphocytes in chronic urticaria. Clin Exp Allergy. 1995 Apr. 25(4):317-22. [QxMD MEDLINE Link].

27. Zuberbier T, Aberer W, Asero R, et al. The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy. 2018 Jul. 73 (7):1393-1414. [QxMD MEDLINE Link].

28. Dressler C, Werner RN, Eisert L, Zuberbier T, Nast A, Maurer M. Chronic inducible urticaria: A systematic review of treatment options. J Allergy Clin Immunol. 2018 May. 141 (5):1726-1734. [QxMD MEDLINE Link].

29. Kaplan AP. Diagnosis, pathogenesis, and treatment of chronic spontaneous urticaria. Allergy Asthma Proc. 2018 May 1. 39 (3):184-190. [QxMD MEDLINE Link].

30. Maurer M, Rosén K, Hsieh HJ, Saini S, Grattan C, Gimenéz-Arnau A, et al. Omalizumab for the treatment of chronic idiopathic or spontaneous urticaria. N Engl J Med. 2013 Mar 7. 368(10):924-35. [QxMD MEDLINE Link].

31. Metz M, Ohanyan T, Church MK, Maurer M. Retreatment with omalizumab results in rapid remission in chronic spontaneous and inducible urticaria. JAMA Dermatol. 2014 Mar. 150(3):288-90. [QxMD MEDLINE Link].

32. Geller M. Successful treatment of occupational delayed pressure urticaria and angioedema with omalizumab. Ann Allergy Asthma Immunol. 2016 Jan. 116 (1):81-2. [QxMD MEDLINE Link].

33. Maurer M, Metz M, Brehler R, Hillen U, Jakob T, Mahler V, et al. Omalizumab treatment in patients with chronic inducible urticaria: A systematic review of published evidence. J Allergy Clin Immunol. 2018 Feb. 141 (2):638-649. [QxMD MEDLINE Link].

34. Damiani G, Diani M, Conic RRZ, Colli L, Ferrucci S, Martina E, et al. Omalizumab in Chronic Urticaria: An Italian Survey. Int Arch Allergy Immunol. 2019. 178 (1):45-49. [QxMD MEDLINE Link].

35. Quintero OP, Arrondo AP, Veleiro B. Rapid response to omalizumab in 3 cases of delayed pressure urticaria. J Allergy Clin Immunol Pract. 2017 Jan - Feb. 5 (1):179-180. [QxMD MEDLINE Link].

36. Grundmann SA, Kiefer S, Luger TA, Brehler R. Delayed pressure urticaria - dapsone heading for first-line therapy?. J Dtsch Dermatol Ges. 2011 Nov. 9(11):908-12. [QxMD MEDLINE Link].

37. Swerlick RA, Puar N. Delayed pressure urticaria: response to treatment with sulfasalazine in a case series of seventeen patients. Dermatol Ther. 2015 Sep-Oct. 28 (5):318-22. [QxMD MEDLINE Link].

38. Kulthanan K, Thumpimukvatana N. Positive impact of chloroquine on delayed pressure urticaria. J Drugs Dermatol. 2007 Apr. 6(4):445-6. [QxMD MEDLINE Link].

39. Dawn G, Urcelay M, Ah-Weng A, O'Neill SM, Douglas WS. Effect of high-dose intravenous immunoglobulin in delayed pressure urticaria. Br J Dermatol. 2003 Oct. 149(4):836-40. [QxMD MEDLINE Link].

40. Metz M, Altrichter S, Ardelean E, Kessler B, Krause K, Magerl M, et al. Anti-immunoglobulin E treatment of patients with recalcitrant physical urticaria. Int Arch Allergy Immunol. 2011. 154 (2):177-80. [QxMD MEDLINE Link].

41. Mitzel-Kaoukhov H, Staubach P, Müller-Brenne T. Effect of high-dose intravenous immunoglobulin treatment in therapy-resistant chronic spontaneous urticaria. Ann Allergy Asthma Immunol. 2010 Mar. 104(3):253-8. [QxMD MEDLINE Link].

42. Lenormand C, Lipsker D. Efficiency of interleukin-1 blockade in refractory delayed-pressure urticaria. Ann Intern Med. 2012 Oct 16. 157(8):599-600. [QxMD MEDLINE Link].

43. Eskeland S, Tanum L, Halvorsen JA. Delayed pressure urticaria treated with the selective serotonin reuptake inhibitor escitalopram. Clin Exp Dermatol. 2016 Jul. 41 (5):526-8. [QxMD MEDLINE Link].

44. Nettis E, Colanardi MC, Soccio AL, Ferrannini A, Vacca A. Desloratadine in combination with montelukast suppresses the dermographometer challenge test papule, and is effective in the treatment of delayed pressure urticaria: a randomized, double-blind, placebo-controlled study. Br J Dermatol. 2006 Dec. 155(6):1279-82. [QxMD MEDLINE Link].

45. Perez A, Woods A, Grattan CE. Methotrexate: a useful steroid-sparing agent in recalcitrant chronic urticaria. Br J Dermatol. 2010 Jan. 162 (1):191-4. [QxMD MEDLINE Link].

46. Vena GA, Cassano N, D'Argento V, Milani M. Clobetasol propionate 0.05% in a novel foam formulation is safe and effective in the short-term treatment of patients with delayed pressure urticaria: a randomized, double-blind, placebo-controlled trial. Br J Dermatol. 2006 Feb. 154(2):353-6. [QxMD MEDLINE Link].

47. Liu RH, Werth VP. What is new in the treatment of steroid-induced osteoporosis?. Semin Cutan Med Surg. 2007 Dec. 26(4):203-9. [QxMD MEDLINE Link].

48. Hartmann K, Hani N, Hinrichs R, Hunzelmann N, Scharffetter-Kochanek K. Successful sulfasalazine treatment of severe chronic idiopathic urticaria associated with pressure urticaria. Acta Derm Venereol. 2001 Jan-Feb. 81(1):71. [QxMD MEDLINE Link].

49. Kozel MM, Sabroe RA. Chronic urticaria: aetiology, management and current and future treatment options. Drugs. 2004. 64(22):2515-36. [QxMD MEDLINE Link].

50. Lawlor F, Black AK, Ward AM, Morris R, Greaves MW. Delayed pressure urticaria, objective evaluation of a variable disease using a dermographometer and assessment of treatment using colchicine. Br J Dermatol. 1989 Mar. 120(3):403-8. [QxMD MEDLINE Link].

Sarah Beggs, MD Resident Physician, Department of Dermatology and Cutaneous Biology, Jefferson Medical College of Thomas Jefferson University

Disclosure: Nothing to disclose.

Warren R Heymann, MD Head, Division of Dermatology, Professor, Department of Internal Medicine, Rutgers New Jersey Medical School

Warren R Heymann, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Niraj Butala, MD Resident Physician, Department of Dermatology, Cooper University Hospital

Niraj Butala, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, American Medical Association, American Society for Dermatologic Surgery

Disclosure: Nothing to disclose.

Daniel J Hogan, MD Clinical Professor of Internal Medicine (Dermatology), Nova Southeastern University College of Osteopathic Medicine; Investigator, Hill Top Research, Florida Research Center

Daniel J Hogan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Contact Dermatitis Society, and Canadian Dermatology Association

Disclosure: Nothing to disclose.

Jeffrey Meffert, MD Assistant Clinical Professor of Dermatology, University of Texas School of Medicine at San Antonio

Jeffrey Meffert, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Association of Military Dermatologists, and Texas Dermatological Society

Disclosure: Nothing to disclose.

Michael J Wells, MD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, and Texas Medical Association

Disclosure: Nothing to disclose.

Joslyn S Kirby, MD Assistant Professor, Department of Dermatology, Milton S Hershey Penn State Medical Center

Joslyn S Kirby, MD is a member of the following medical societies: American Academy of Dermatology, International Society for Cutaneous Lymphomas, Pennsylvania Academy of Dermatology, and Women's Dermatologic Society

Disclosure: Nothing to disclose.

Ellen J Kim, MD Assistant Professor, Department of Dermatology, University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania

Ellen J Kim, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, Dermatology Foundation, Medical Dermatology Society, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Robin M Levin, MD Staff Physician, Assistant Professor, Department of Family Medicine, Division of Dermatology, Kennedy Hospital at Stratford

Robin M Levin, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

What would you like to print?

• Print this section
• Print the entire contents of
• Print the entire contents of article