Evidence map›Paper›PMID 40061949›Full record

ArticleFrontiers in immunology2025

Cold-induced anaphylaxis: new insights into clinical and genetic characteristics.

Mojca Bizjak, Peter Korošec, Mitja Košnik, Julij Šelb, Urška Bidovec-Stojkovič, Manca Svetina, Samo Zver, Dejan Dinevski, Matija Rijavec

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Cold Urticaria: From Wheals to Anaphylaxis.Allergy, asthma & immunology research · 2025
    Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mojca BizjakUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Peter KorošecUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Mitja KošnikUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Julij ŠelbUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Urška Bidovec-StojkovičUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Manca SvetinaUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.
Samo ZverHematology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Dejan DinevskiFaculty of Medicine, University of Maribor, Maribor, Slovenia.
Matija RijavecUniversity Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The pathogenesis of cold urticaria (ColdU) and cold-induced anaphylaxis (ColdA) remains poorly understood, and ColdA is underrepresented in anaphylaxis literature. Laboratory features to guide management are largely unknown. This study evaluated basal serum tryptase (BST) and total immunoglobulin E (IgE) levels in ColdU and ColdA, their associations with clinical features, and the utility of testing for the Methods: Ninety-two adults with ColdU were enrolled. ColdA was defined as a reaction involving skin and/or visible mucosal tissue with cardiovascular, respiratory, or gastrointestinal manifestations. Evaluations included patient history, standard cold stimulation testing (sCST) using an ice cube and TempTest Results: ColdA was diagnosed in 35.9% of patients. ColdU phenotypes based on sCST included typical ColdU (52.2%), localized cold-reflex urticaria (5.4%), and ColdU with negative sCST (42.4%). Negative sCST, compared to typical ColdU, was associated with fewer ColdA cases ( Discussion: This study confirmed clinical features linked to ColdA previously identified by the multicenter COLD-CE study, including generalized wheals, skin angioedema, oropharyngeal/laryngeal manifestations, and itchy earlobes. We identified new high-risk features. ColdA is more frequently associated with typical ColdU than with ColdU with negative sCST, the latter being linked to spontaneous wheals. ColdA is additionally associated with higher total IgE levels. Furthermore, patients with ColdU and ColdA exhibit higher prevalence of

Indexed as

AnaphylaxisCold TemperatureUrticariaAdultAgedFemaleHumansImmunoglobulin EMaleMiddle AgedProto-Oncogene Proteins c-kitTryptasesYoung AdultImmunoglobulin EKIT protein, humanProto-Oncogene Proteins c-kitTryptasesanaphylaxiscold urticariahereditary α-tryptasemiaKIT p.D816Vmast celltotal IgEtryptase

Identifiers

PMID40061949
PMCPMC11885499

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.