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Dermatology · Urticaria & angio-oedema

Inducible urticaria

Chronic inducible urticaria is a form of chronic urticaria in which the wheals and itching are reproducibly triggered by an identifiable physical stimulus: friction, cold, heat, pressure, sunlight, water or exercise. Diagnosis is based on targeted provocation tests.

Written by Dr A. Turcarelli, dermatologist and allergist Updated 5 January 2026 5 min read

Urticaire inductible

Introduction

Flare-ups are therefore predictable, unlike chronic spontaneous urticaria. This form may occur on its own or alongside another type of chronic urticaria.

Symptoms

  • Raised, well-defined red wheals
  • Itching, tingling or a burning sensation
  • Appears only on the area exposed to the trigger
  • Clears on its own in under 24 hours
  • Reappears every time the same trigger is encountered
  • Angio-oedema possible in some forms

Causes

Cold (air, water, cold food)
Pressure (tight clothing, carrying loads, sitting for long periods)
Heat
Physical exertion
Emotional stress
Vibration or friction (rarer forms)

Diagnosis

  1. Targeted questioning about triggers
  2. Reproducibility of symptoms
  3. Skin examination
  4. Simple challenge tests if necessary (cold, pressure, exercise), carried out in a safe medical setting

Treatments

Non-sedating antihistamines (first-line treatment)
Gradual dose adjustment according to response
Avoiding or limiting triggers where possible
Protective measures (suitable clothing, gradual warm-up)
Specialist treatments for resistant forms
symptom control

Management

Identify precisely which type of inducible urticaria you have

Avoid unnecessary tests

Tailor treatment to your lifestyle

Improve your quality of life in the long term

Frequently asked questions

See us about inducible urticaria

Consultation with a confirmed diagnosis and a written treatment plan.

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