Is cholinergic urticaria a poor immune system

Cholinergic urticaria, the exact cause of which is not fully understood, is usually not caused by poor immunity. Instead, it is considered to be related to everyday factors, dietary factors, mental states, and specific diseases.
Cholinergic urticaria is caused by an increase in body temperature, for example, drinking alcoholic beverages, overheated food, irritating food, strenuous exercise, hot baths, wearing too thick clothing, emotional excitement, nervousness, depression, etc., which may lead to itchy skin eruptions.
In addition to this, patients with atopic diseases, such as atopic dermatitis, bronchial asthma, and allergic rhinitis, usually have a higher chance of developing urticaria. However, cholinergic urticaria is not usually considered to be caused by low immunity, but rather by immune dysfunction, or the presence of allergies, along with the stimulation of various triggers that induce urticaria.
Cholinergic urticaria is a self-limiting disease, and after the appearance of the windsprings, they may subside on their own usually within half an hour to an hour, but they will recur. If the itching and stinging of the windmill cannot be relieved for a long time, or accompanied by symptoms such as chest tightness, dyspnea, dizziness, abdominal pain, etc., it is recommended to consult a doctor in a timely manner.