https://oamjms.eu/index.php/mjms/issue/feed 2026-09-29T12:30:13+00:00 Prof. Dr Mirko Spiroski mspiroski@yahoo.com Open Journal Systems <p><strong>An Open Access, International Peer-reviewed Journal</strong></p> <p>Published by Scientific Foundation SPIROSKI, Skopje (<a title="OAMJMS published by Scientific Foundation SPIROSKI" href="https://oamjms.eu/index.php/mjms/index" target="_blank" rel="noopener">https://oamjms.eu/index.php/mjms/index</a>)<br />Co-published by Paradigm Publishing Services, Warsaw, Poland (<a title="Paradigm" href="https://reference-global.com/journal/OAMJMS" target="_blank" rel="noopener">https://reference-global.com/journal/OAMJMS</a>)</p> https://oamjms.eu/index.php/mjms/article/view/12145 2026-09-29T12:30:13+00:00 Michał Szklarz michszklarz@gmail.com Mikołaj Madeksza mikolaj.madeksza@icloud.com Wojciech Matuszewski wmatuszewski82@wp.pl

<p><strong>BACKGROUND:</strong> Cholinergic urticaria (CholU) is a condition characterized by small, highly pruritic wheals triggered by sweating. Treatment with histamine H1-receptor antagonists (H1RAs) is often insufficient.</p> <p><strong>CASE PRESENTATION:</strong> We report the case of a 20-year-old male who developed CholU following a period of physical inactivity with reduced sweating. Symptoms were reproducibly triggered by exercise or emotional stress and were most severe after prolonged inactivity. The patient undertook a self-directed desensitization approach using weekly dry sauna bathing. Over eight weeks, he experienced progressive improvement, with complete resolution of symptoms that was sustained with continued sessions.</p> <p><strong>CONCLUSION:</strong> This case suggests that controlled, repeated sweating may reduce disease activity in selected patients. Sauna bathing may represent a feasible, low-cost, non-pharmacologic adjunct in CholU that warrants further investigation.</p>

2026-09-18T00:00:00+00:00 Copyright (c) 2026 Michał Szklarz, Mikołaj Madeksza, Wojciech Matuszewski (Author)