Fonseca Luis Carlos, Rodrigues Cláudia, Lemos Antonio Jose
General and Family Medicine, USF Grão Vasco, Viseu, PRT.
Cureus. 2022 Oct 30;14(10):e30869. doi: 10.7759/cureus.30869. eCollection 2022 Oct.
Physical activity plays an important role in our health. Yet, the practice of physical exercise or the consequent sweating itself can be a causal factor of skin pathology. Cholinergic urticaria is an entity characterized by itchy papules associated with heat and/or sweat, with exercise being the main triggering factor. While urticaria can be common, cholinergic urticaria is a rare entity in primary care and is usually overlooked. Promoting medical literacy and public awareness should be incorporated as a tool to provide support and management for these cases, which is emphasized in this case presentation. This case report presents a typical case, and discusses the added value of new technologies, like smartphones, in the diagnosis of cholinergic urticaria, its symptomatic treatment with antihistamines, and its follow-up. Patient empowerment and reassurance are the key aspects of therapeutic success and the role of the family doctor is crucial. The physician in this report reassured the patient, by properly explaining her condition, possible limitations, and when to seek medical attention, which resulted in a considerable improvement in her quality of life.
体育活动对我们的健康起着重要作用。然而，体育锻炼或随之而来的出汗本身可能是皮肤病理的一个致病因素。胆碱能性荨麻疹是一种以与热和/或出汗相关的瘙痒性丘疹为特征的病症，运动是主要触发因素。虽然荨麻疹很常见，但胆碱能性荨麻疹在初级保健中是一种罕见的病症，通常被忽视。应将提高医学素养和公众意识作为一种工具，为这些病例提供支持和管理，本病例报告强调了这一点。本病例报告展示了一个典型病例，并讨论了智能手机等新技术在胆碱能性荨麻疹诊断、抗组胺药对症治疗及其随访中的附加价值。患者赋权和安心是治疗成功的关键方面，家庭医生的作用至关重要。本报告中的医生通过正确解释患者的病情、可能的局限性以及何时寻求医疗帮助，让患者安心，这使她的生活质量有了显著改善。
