Ann Dermatol.  2011 Dec;23(Suppl 3):S371-S374. 10.5021/ad.2011.23.S3.S371.

Aquagenic Urticaria: A Report of Two Cases

Affiliations
  • 1Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. ph7163@hanmail.net
  • 2Department of Dermatology, College of Medicine, Hallym University, Seoul, Korea.

Abstract

Aquagenic urticaria is a rare form of physical urticaria, in which contact with water evokes wheals. A 19-year-old man and a 4-year-old boy complained of recurrent episodes of urticaria. Urticaria appeared while taking a bath or a shower, in the rain, or in a swimming pool. Well-defined pin head to small pea-sized wheals surrounded by variable sized erythema were provoked by contact with water on the face, neck, and trunk, regardless of its temperature or source. Results from a physical examination and a baseline laboratory evaluation were within normal limits. Treatment of the 19-year-old man with 180 mg fexofenadine daily was successful to prevent the wheals and erythema. Treatment with 5 ml ketotifen syrup bid per day resulted in improvement of symptoms in the 4-year-old boy.

Keyword

Aquagenic urticaria; Water

MeSH Terms

Baths
Erythema
Head
Humans
Ketotifen
Neck
Physical Examination
Preschool Child
Rain
Swimming Pools
Terfenadine
Urticaria
Water
Young Adult
Ketotifen
Terfenadine
Water

Figure

  • Fig. 1 Pin-head to match-head sized wheal surrounded by erythema on the upper trunk after the water provocation test.

  • Fig. 2 Pin-head sized wheal surrounded by erythema on the face after the water provocation test.


Cited by  1 articles

Aquagenic Urticaria Diagnosed by the Water Provocation Test and the Results of Histopathologic Examination
Jung Eun Seol, Do Hyeong Kim, So Hee Park, Jeong Nan Kang, Ho Suk Sung, Hyojin Kim
Ann Dermatol. 2017;29(3):341-345.    doi: 10.5021/ad.2017.29.3.341.


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