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Adrenergic urticaria

Small, pale pink papules are surrounded by a prominent white halo of vasoconstriction, triggered by stress.

Angioedema

Presents as a deep, non-pitting, and often non-pruritic swelling of the lower dermis and subcutaneous tissues, commonly affecting the lips and eyelids.

Aquagenic urticaria

Small (1-3 mm), highly pruritic, perifollicular wheals appear within minutes of contact with water, regardless of its temperature.

Cholinergic urticaria

Numerous, highly pruritic, small (1-4 mm) punctate wheals surrounded by a prominent erythematous flare are induced by sweating.

Cold urticaria

A pruritic wheal and flare reaction develops on skin upon rewarming after direct exposure to a cold stimulus.

Contact urticaria

A wheal and flare reaction develops rapidly and is confined to the site of direct skin contact with an eliciting substance.

Delayed pressure urticaria

Deep, tender, erythematous swellings appear with a characteristic delay of several hours after sustained pressure has been applied to the skin.

Dermographism

A linear wheal with a surrounding flare appears within minutes along the path of a scratch or firm stroking of the skin.

Exercise-induced urticaria

Large, classic wheals (larger than cholinergic urticaria) develop during or after physical exertion and may be associated with anaphylaxis.

Familial cold urticaria

Burning maculopapular lesions (not true wheals) appear hours after generalized cold exposure and are accompanied by systemic symptoms like fever.

Heat urticaria

A localized wheal and flare reaction develops within minutes at the site of direct contact with a heat source.

Hereditary angioedema

Recurrent episodes of non-pitting, non-pruritic angioedema occur characteristically without any associated urticarial wheals.

Muckle-Wells syndrome

A migratory, urticaria-like rash is a key feature alongside recurrent fevers, joint pain, and progressive sensorineural hearing loss.

Schnitzler syndrome

A chronic, non-pruritic urticarial rash is characteristically associated with a monoclonal IgM gammopathy, fever, and bone pain.

Solar urticaria

A pruritic wheal and flare reaction develops within minutes of exposure to sunlight and is confined to the exposed areas.

Spontaneous urticaria

Evanescent, pruritic wheals appear spontaneously without any identifiable external trigger and each lesion resolves within 24 hours.

Urticarial vasculitis

Urticarial lesions are painful, persist for more than 24 hours, and often resolve leaving purpuric stains or hyperpigmentation.

Vibratory angioedema

Localized angioedema and erythema are rapidly induced at a site exposed to a vibratory stimulus.

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