Lee W. Paul, M.D.
JAMA. 1934;103(1):24. doi:10.1001/jama.1934.72750270004009b.
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A recent editorial in The Journal1 presented recorded occurrences of cold allergy, discussed the symptoms and causes, and particularly emphasized the fact that such a reaction should be considered as a possible cause of death during bathing in a cold body of water. Just before the appearance of the editorial, a patient described to me a cutaneous reaction of this type.

REPORT OF CASE  D. W., a white man, aged 29, married, a grocery clerk, called my attention to a skin condition which he described as a "bumpy affair" that occurred when he immersed his hands or body in cold water even for only a short time. He stated that he had ceased ocean bathing and plunge swimming because the condition occurred on all exposed areas. Driving against cold rain or mist would also produce it on the exposed areas. Furthermore, swallowing ice water or eating frozen desserts would


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