Vibratory angioedema: A hereditary type of physical hypersensitivity

Patterson, Roy; Mellies, Chester J.; Blankenship, Marshall L.; Pruzansky, Jacob J.

doi:10.1016/0091-6749(72)90048-6

Cited by 86 publications

(23 citation statements)

References 5 publications

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“…41,42 Transient erythema and wheals form at the site of the vibration secondary to intraepidermal or intercellular edema and increased blood flow. 43,44 Increased plasma histamine levels are present. 43,44 This condition has been reported in a 28-year-old woman who experienced the symptoms in the back aspect of her thighs because of repetitive pounding related to running.…”

Section: Physical Urticariasmentioning

confidence: 96%

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Skin manifestations of running

Mailler-Savage

Adams

2006

Journal of the American Academy of Dermatology

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Section: Physical Urticariasmentioning

confidence: 96%

“…43,44 Increased plasma histamine levels are present. 43,44 This condition has been reported in a 28-year-old woman who experienced the symptoms in the back aspect of her thighs because of repetitive pounding related to running. 43 Prophylactic terfenadine (120 mg) allowed her to exercise without symptoms.…”

Section: Physical Urticariasmentioning

confidence: 96%

Skin manifestations of running

Mailler-Savage

Adams

2006

Journal of the American Academy of Dermatology

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“…Many dermatoses are related to sports. Urticaria, 1–6 angioedema, 2–9 and exercise‐induced anaphylaxis (EIA) 10–22 are three physical urticarias that can be associated with athletic activity. Whilst these conditions represent reaction patterns, considerable overlap exists.…”

Section: Discussionmentioning

confidence: 99%

Exercise‐induced anaphylaxis in a marathon runner

Adams

2002

Int J Dermatology

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After completion of a marathon (26.2 mile running race), a 41‐year‐old woman presented to the medical tent complaining of hand swelling. She denied any hand pain or numbness, diarrhea, nausea, vomiting, or abdominal pain, but admitted to slight hoarseness. Whilst she denied shortness of breath at that moment, she had noted dyspnea out of proportion to her athletic activity during the first 3 miles of the marathon. Thereafter, she ran without respiratory discomfort. She also recalled hand swelling and dyspnea out of proportion to her activity during her marathon training, especially on warm and humid days. Similar lesions, but to a much milder degree, had developed during brisk walks. These lesions began within the first 15 min of exercise and were associated with pruritus. She admitted to eating, only occasionally, a banana before her runs. She denied developing lesions whilst experiencing sudden powerful emotions, taking hot showers, or eating hot foods. She had no other medical problems, except for depression, for which she took venlafaxine. The symptoms related to her running were unrelated to her venlafaxine intake. She began having the swelling many years before starting the medication and continued having the swelling after discontinuation of venlafaxine. She had no history of atopic dermatitis, but 2 years subsequent to this most recent episode, she had been diagnosed with atopic dermatitis by her primary medical physician. There was no family history of similar eruptions. Physical examination revealed diffuse swelling of both hands, including all digits, with mild, ill‐defined overlying erythema (Fig. 1). She had similar lesions on her feet and also had mild diffuse facial swelling, but did not have pronounced lip, tongue, or eyelid swelling. The swelling largely resolved within 4 h. 1 Diffuse swelling involving the hand and all digits with mild overlying erythema. Notice the constriction of the digit caused by the runner's wedding ring Exercise‐induced anaphylaxis was diagnosed. The patient continues to have similar eruptions with exercise, but has refused treatment with antihistamines or epinephrine.

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“…Vibratory angioedema may be familial with an autosomal domimant pattern of inheritance [25] or it may be acquired and occur in patients with cholinergic urticaria [17]. The genetic form is often accompanied by facial flushing and is not associated with dermographism.…”

Section: Vibratory Angioedemamentioning

confidence: 99%

Physical urticaria/angioedema as an experimental model of acute and chronic inflammation in human skin

Soter

1981

Springer Semin Immunopathol

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Vibratory angioedema: A hereditary type of physical hypersensitivity

Cited by 86 publications

References 5 publications

Skin manifestations of running

Skin manifestations of running

Exercise‐induced anaphylaxis in a marathon runner

Physical urticaria/angioedema as an experimental model of acute and chronic inflammation in human skin

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