Cold urticaria is a group of distinct clinical entities with different clinical manifestations that share the common feature of an urticaria1 response to cold exposure. In the localized cold urticaria, it is confiied to portions of the body that have contact with the cold. In this article, we report an unusual patient with cold urticaria in which cold exposure causes hives in localized region of the face and the ice-cube test was positive only in that area.