MONDO: 0008634;
Michaelsson and Ros (1971) described a delayed heat urticaria, limited to the area of contact, in a 48-year-old female, 2 of her 3 children, 1 of her 2 sisters, and 4 of the latter's 5 children. Repeated heat exposure showed a decrease in response. Local pretreatment with lidocaine completely inhibited whealing. Oral antihistamines lessened the urticarial response. A higher percentage of basophils were degranulated in vitro in the experimental subject than in the controls. Acetylcholine as an allergen was postulated.
Michaelsson, G., Ros, A.-M. Familial localized heat urticaria of delayed type. Acta Derm. Venerol. 51: 279-283, 1971. [PubMed: 4105776]