Bill is a 40 year old accountant who has recently begun jogging again after a lengthy layoff, complicated by a sudden onset rash after exercise. The rash lasts several hours and is intensely itchy.

Managament of exercise induced urticaria

• Double dose loratadine
• Double dose cetirizine
• Propanolol
• Phototherapy
• Stanozol
• Keep body temp warm
• Exercise regularly

Further reading

• https://patient.info/doctor/urticaria-pro
• https://tgldcdp.tg.org.au/viewTopic?topicfile=urticaria-angioedema&guidelineName=Dermatology#toc_d1e207
• https://tgldcdp.tg.org.au/viewTopic?topicfile=urticaria-angioedema&guidelineName=Dermatology#dmg-c21-s1-2-2
• https://www.allergy.org.au/images/pcc/ASCIA_PCC_Hives_Urticaria_2017.pdf
• http://www.aafp.org/afp/2001/1015/p1367.html