A 22 year old woman developed small itchy wheals after physical exertion, walking in the sun, eating hot spicy food and when she was angry. The most likely diagnosis is –: (A) Chronic idiopathic utricaria, (B) Heat urticaria, (C) Solar urticaria, (D) Cholinergic urticaria
Answer is D. Similar to previous question this women developed urticaria (itchy wheal) after :-


Walking in the sun → generalized heating
Eating hot spicy food
Physical exertion
When she was angry → emotional stress


Diagnosis is cholinergic urticaria