Caffeine as a cause of urticaria-angioedema
We report the case of a young woman presenting with recurrent urticaria. The episodes occurred both in and out of the workplace. On three occasions it presented as urticaria-angioedema, requiring emergency care on one occassion. A thorough clinical history along with serological and allergological t...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2014-01-01
|
Series: | Indian Dermatology Online Journal |
Subjects: | |
Online Access: | http://www.idoj.in/article.asp?issn=2229-5178;year=2014;volume=5;issue=6;spage=113;epage=115;aulast=Tognetti |
id |
doaj-ef25b9ec49c64707b3c674af2d6cef7b |
---|---|
record_format |
Article |
spelling |
doaj-ef25b9ec49c64707b3c674af2d6cef7b2020-11-25T00:52:43ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782014-01-015611311510.4103/2229-5178.146181Caffeine as a cause of urticaria-angioedemaLinda TognettiFrancesco MurdacaMichele FimianiWe report the case of a young woman presenting with recurrent urticaria. The episodes occurred both in and out of the workplace. On three occasions it presented as urticaria-angioedema, requiring emergency care on one occassion. A thorough clinical history along with serological and allergological tests allowed a diagnosis of caffeine-induced urticaria-angioedema. We advised the patient to follow a caffeine-free diet and to avoid all caffeine or methylxanthine-containing drugs. After two years of caffeine abstinence, she had not experienced any further episodes of urticaria-angioedema. Only a few cases of caffeine-induced urticaria and/or anaphylaxis have been reported till date, with varying outcomes in allergologic investigations. Moreover, several cases are probably undiagnosed or misdiagnosed as idiopathic urticaria or as occupational allergy. We speculate that hypersensitivity to caffeine rather than autoimmine reaction may be the probable cause of urticaria. Caffeine should considered as a potential urticaria-inducing agent and should be included in the allergological test series.http://www.idoj.in/article.asp?issn=2229-5178;year=2014;volume=5;issue=6;spage=113;epage=115;aulast=TognettiAngioedemacaffeine hypersensitivityurticarial |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Linda Tognetti Francesco Murdaca Michele Fimiani |
spellingShingle |
Linda Tognetti Francesco Murdaca Michele Fimiani Caffeine as a cause of urticaria-angioedema Indian Dermatology Online Journal Angioedema caffeine hypersensitivity urticarial |
author_facet |
Linda Tognetti Francesco Murdaca Michele Fimiani |
author_sort |
Linda Tognetti |
title |
Caffeine as a cause of urticaria-angioedema |
title_short |
Caffeine as a cause of urticaria-angioedema |
title_full |
Caffeine as a cause of urticaria-angioedema |
title_fullStr |
Caffeine as a cause of urticaria-angioedema |
title_full_unstemmed |
Caffeine as a cause of urticaria-angioedema |
title_sort |
caffeine as a cause of urticaria-angioedema |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Dermatology Online Journal |
issn |
2229-5178 |
publishDate |
2014-01-01 |
description |
We report the case of a young woman presenting with recurrent urticaria. The episodes occurred both in and out of the workplace. On three occasions it presented as urticaria-angioedema, requiring emergency care on one occassion. A thorough clinical history along with serological and allergological tests allowed a diagnosis of caffeine-induced urticaria-angioedema. We advised the patient to follow a caffeine-free diet and to avoid all caffeine or methylxanthine-containing drugs. After two years of caffeine abstinence, she had not experienced any further episodes of urticaria-angioedema. Only a few cases of caffeine-induced urticaria and/or anaphylaxis have been reported till date, with varying outcomes in allergologic investigations. Moreover, several cases are probably undiagnosed or misdiagnosed as idiopathic urticaria or as occupational allergy. We speculate that hypersensitivity to caffeine rather than autoimmine reaction may be the probable cause of urticaria. Caffeine should considered as a potential urticaria-inducing agent and should be included in the allergological test series. |
topic |
Angioedema caffeine hypersensitivity urticarial |
url |
http://www.idoj.in/article.asp?issn=2229-5178;year=2014;volume=5;issue=6;spage=113;epage=115;aulast=Tognetti |
work_keys_str_mv |
AT lindatognetti caffeineasacauseofurticariaangioedema AT francescomurdaca caffeineasacauseofurticariaangioedema AT michelefimiani caffeineasacauseofurticariaangioedema |
_version_ |
1725240704904462336 |