Aquagenic urticaria was first described in 1964 by shelly and rawnsley 2. Eventually i was referred to an allergenist that agressively treats urticaria. In some families, a tendency toward aquagenic pruritus appears to be hereditary. Dec 10, 2019 aquagenic urticaria is a form of physical urticaria that occurs following a known trigger, which is contact with water in this case. Pruritus may occur in the absence of a discrete rash. Urticaria in children and adolescents wiley online library. Contact with water, regardless of its temperature and source, induces the formation of hives and a rash with intense. Pronunciation of aquagenic urticaria with 2 audio pronunciations, 1 meaning and more for aquagenic urticaria. Aquagenic urticaria au is a rare inducible form of physical urticaria, which occurs in response to cutaneous exposure to water, including sweat and tears.
The 18monthold, ivy angerman, was recently diagnosed with aquagenic urticaria, or an allergy to water, according to local news station fox 9. It started as a small red rash, but gradually got worse over the years to the point that its now a full blown rash hives, redness, swelling and it itches and burns at the same time. If this is the case, the condition is called inducible urticaria or physical urticaria. Chronic urticaria, sometimes called chronic idiopathic urticaria, is more common in adults, occurs on most days of the week, and, as noted, persists for more than six weeks with no identifiable triggers. For more information on this disorder, choose physical urticaria as your search term in the rare disease database. Cholinergic urticaria is a common chronic inducible urticaria that is caused by sweating. Although there is no known exact treatment for aquagenic urticaria, it can be managed effectively. Please use this guide as a resource for knowledge and understanding of aquagenic urticaria symptoms, diagnosis and treatment. Aquagenic urticaria, a type of physical urticaria, is quite rare and only about 50 cases have been reported in the medical literature. Rather, diagnosis is made by excluding all other possible causes of the patients itching, including polycythemia vera. The hives associated with aquagenic urticaria are typically small approximately mm, red or skincolored welts called wheals with clearly defined edges.
Physical urticaria is a different form, usually caused by some kind of physical stimulus such as pressure or vibration. Aquagenic urticaria is not commonly seen in the clinical setting, but it causes obvious discomfort to affected patients. It was first described by shelley and rawnsley in 1964. In addition to the patients history, the diagnosis relies on the results of the water provocation test. I have provided a quote from the practice parameters concerning autoantibodies in urticaria pactice parameters chronic urticaria 2014. Aquagenic urticaria in twins world allergy organization. The first step is for the doctor to dive into your medical history. Aquagenic urticaria, also known as water urticaria, is a rare form of physical urticaria in which any contact with water results in hives. Urticaria appeared while taking a bath or a shower, in the rain, or in a swimming pool. Jun 20, 2016 aquagenic urticaria is a rare condition in which itchy urticaria hives develop rapidly after the skin comes in contact with water, regardless of its temperature. No definitive medical test is known for aquagenic pruritus. A page to help raise awareness of aquagenic urticaria and aquagenic pruritus also known as water urticaria, water allergy and water itch respectively.
Know its causes, symptoms, sigs, tests and treatment. I have not heard of aquagenic urticaria being triggered by anything but contact with water. The hives and accompanying intense itching typically develop within 2030 minutes after exposure and resolve within 3060 minutes after drying. A 49yearold white man has a threeyear history of perifollicular, punctate hives on wellcircumscribed areas of the forearms, shoulders, and chest whenever these areas come in contact with water. Unfortunately, there is no known aquagenic urticaria cure. People who have this allergy cant drink or bathe in water and have to avoid eating certain foods. Those who suffer from the condition may find it difficult to navigate through everyday life. Urticaria is the medical term for hives, an outbreak of raised red bumps or lesions on the body usually in response to an allergen. Since pruritus is a symptom of many serious diseases, it is important to rule out other causes before making a. I take antihistamine 128mg every day, and it prevents most of it.
Aquagenic urticaria hives is a rare form of physical hives triggered by skin exposure to water regardless of the source, temperature or salinity. Despite the lack of a concrete cause of aquagenic urticaria, there are very simple ways of diagnosing the allergy. The condition must be differentiated from aquagenic pruritus, in which contact with water induces itching without cutaneous lesions. Treatment of aquagenic urticaria with puva and astemizole. Cold urticaria presents with very small 14 mm weals surrounded by bright red flares.
Aquagenic urticaria au, aquagenic pruritus ap, and aquagenic acrokeratoderma aa, also referred to as aquagenic syringeal acrokeratoderma are a group of rare skin disorders characterized by the development of skin lesions, pruritus, or other symptoms induced by contact with water. Oct 20, 2012 aquagenic pruritus, hello frank, i cut out sugars and sweets totally and increased my salt intake, within the first week i felt a good change, and it continued to slowly improve, and about 3 months later that stinging prickling itch became a thing of the past but if i eat incorrectly it will start to come back, check with your doctor and get started on this plan today. This itchy rash is also known as urticaria, or as nettle rash. The pathogenesis of aquagenic urticaria is not clear. I would really like to have other medication since this one makes me tired and i. Contact urticaria refers to the nonallergic stinging reaction to certain plants, animals or medicines. Almost all types of urticaria present with a common and distinctive clinical pattern, i. Aquagenic pruritus is a condition in which contact with water of any temperature causes intense itching, without any visible skin changes. Aquagenic urticaria is a rare condition in which urticaria hives develop rapidly after the skin comes in contact with water, regardless of its temperature. One of his first things to do was to run a chronic urticaria test which is the second generation functional antifcer test. Urticaria, physical nord national organization for rare. Angioedema is a form of urticaria in which there is deeper swelling in the skin, and the swelling may take longer than 24 hours to clear.
This rare form of urticaria usually presents within an hour of contact with water. The rash can break out within minutes of water exposure, and may last for up to two hours. Critical wetting of the sensitive areas of the skin surface, which triggers cholinergic urticaria, can be achieved by a few minutes immersion in a water bath, contact with distilled water, or sweating itself. Aquagenic urticaria is believed to have a similar mechanism similar to that of cholinergic urticaria. Evolving, patches can be merged until the rash covers most of the body. Aquagenic cutaneous disorders wiley online library. Urticaria involves intensely pruritic, raised wheals, with or without edema of the deeper cutis. Wheals mostly appear on the trunk and upper limbs within 2030 min. Nov 04, 2016 what its like being allergic to water rain, bathing, pools and even humidity cause hives in people with this rare condition. Aquagenic urticaria should be also distinguished from aquagenic pruritus and aquadynia, in which brief contact with water induce itching and pain without skin lesions. Advances in understanding and managing chronic urticaria. He or she will look at any skin issues you have had in the past and whether they might be connected to aquagenic urticaria. Aquagenic, meaning waterinduced, and urticaria, meaning hives. The phenomenon first appeared after the patient had been sprayed in these areas with hydrochloric acid.
I would really like to have other medication since this one makes me tired and i have problems concentrating. The symptoms may be felt immediately after contact with water and can persist for an hour or longer. It usually occurs a few minutes after a shower, hot or cold, causing a prickling skin itch that is not accompanied by skin lesions. Wheals usually develop within 30 to 60 minutes of contact with water, irrespective of the temperature. Aug 08, 2017 what is aquagenic urticaria, and what does it mean to have an allergy to water. The numerous small lesions have been labeled cholinergic urticaria. Aquagenic urticaria au is a rare inducible form of physical urticaria, which occurs in response to cutaneous exposure to water.
Evidence that water acts as a carrier for an epidermal antigen in aquagenic urticaria. Is there any natural treatment for aquagenic urticaria. Contact urticaria refers to the nonallergic stinging reaction to. Lukewarm water immersion of forearm for aquagenic urticaria urtication in aquagenic urticaria. Aquagenic keratodermaalso known as aquagenic wrinkling of the palms, aquagenic syringeal keratoderma, and aquagenic palmoplantar keratodermais a rare disorder clinically characterized by transient excessive wrinkling of the palms shortly after immersion in water. Aquagenic urticaria genetic and rare diseases information. Dec 01, 2017 aquagenic urticaria is a rare form of urticaria, a type of hives that causes a rash to appear after you touch water. Food allergies, for instance to shrimp or bananas, can make people react with hives all over their bodies.
Examples of physical factors which can trigger hives include pressure, friction. The diagnosis and management of acute and chronic urticaria jaci. Statistics of aquagenic urticaria map check how this condition affects the daily life of people who suffer it. Aquagenic urticaria causes, diagnosis, facts and treatment. In some cases this itchy rash is triggered by a physical stimulus. Wheals occur when a patients skin makes contact with any type of water within 30 minutes of exposure, and can last for 30 minutes to 2 hours after. It is usually a selflimited, benign reaction, but can be chronic. In aquagenic urticaria, the culprit is water applied to the skin.
Here you can see if there is any natural remedy andor treatment that can help people with aquagenic urticaria. Aquagenic urticaria or water allergycausessymptoms. Its a form of physical hives and is associated with itching and burning. It is a harmless, yet very uncomfortable and sometimes disturbing condition that causes severe itching after contact with water. However, research has shown that a response to contact with tap water is the most common types. Aquagenic urticaria is a rare form of physical urticaria, in which contact with water evokes wheals.
For people with aquagenic pruritus, external symptoms include itching, pain, and burning. Aquagenic urticaria is an unusual dermatological condition that is characterized by the appearance of a rash after exposure to water. Aquagenic urticaria au, also known as water urticaria and aquagenous urticaria, is a rarely diagnosed form of physical urticaria. Aquagenic urticaria live a happier and healthier life. The exact underlying cause of aquagenic urticaria is currently unknown. I have aquagenic urticaria does any one else allergy. Urticaria is a heterogeneous group of diseases with many subtypes. Unfortunately, this testing can have interference with aquagenic urticaria au or heat urticaria. Aquagenic urticaria facts and remedies cholinergic. Developing of generalized hives confirms the diagnosis 6. Jan 31, 20 aquagenic urticaria is a rare form of urticaria which affects women more commonly than men. Pdf on feb 20, 2010, ayelet hirshfeld and others published aquagenic urticaria and aquagenic pruritus a psychoanalytic study, by ayelet hirshfeld, phd. Aquagenic pruritus is a rare skin condition that has been reported by dermatologists. But the following can provide relief from the symptoms.
We describe the case of 18 year old twin brothers who presented to our unit with a 3 year history of aquagenic urticaria. In addition, chronic inducible urticaria cindu has replaced physical urticaria and includes other forms of inducible urticaria, such as cholinergic and aquagenic urticaria. Multiple small wheals with surrounding erythema were seen on the right forearm after applying a towel soaked in tap water at body temperature for 5 minutes. Itching may last from a few minutes to a couple of. Stats aquagenic urticaria aquagenic urticaria map diseasemaps. Aquagenic urticaria is diagnosed by testing the skin s reaction to both tap and distilled water. Aquagenic urticaria is an itching condition caused by exposure to water.
An affected individual may have urticaria alone, angioedema alone, or both. I live in the netherlands and i was told that there are only a few people with aquenic urticaria in the world. A specific genetic mutation has not yet been found. Aquagenic pruritus genetic and rare diseases information.
It most commonly affects women and symptoms often start around the onset of puberty. The condition typically results from contact with water of any type, temperature or. Aquagenic urticaria in complete remission after omalizumab. A 19yearold man and a 4yearold boy complained of recurrent episodes of urticaria. Aquagenic urticaria is a rare condition that causes the patient to break out in painful or itchy lesions when exposed to water. In the case of aquagenic urticaria, the allergy is a physical urticaria, meaning that its effects are seen externally on your skin. Aquagenic urticaria is a rare form of urticaria, a type of hives that causes a rash to appear after you touch water. The symptoms may begin immediately after contact and can last for an hour or more. Aquagenic definition of aquagenic by medical dictionary. Aquagenic urticaria was first described in 1964 by shelly and rawnsley 2 it most commonly affects women and symptoms often start around the onset of puberty 3. Most cases are sporadic but there are a small number of familial cases in the medical literature. Are there natural treatments that may improve the quality of life of people with aquagenic urticaria.
Aquagenic urticaria is an allergy to water and is a very tough allergy to have considering that water makes up most of the earth and the human body. Although most patients experience sporadic episodes, several case reports of familial disease have been published. Aquagenic pruritus is a skin disease characterized by the development of severe itching on contact with water without observable skin lesions. Mar 12, 2019 aquagenic urticaria or water allergy being allergic to water is a typical form of physical hives that is caused when the person comes in contact with the water. Aquagenic urticaria known commonly as having a water allergy is an extremely rare condition. The new term chronic spontaneous urticaria csu has replaced chronic idiopathic urticaria and chronic autoimmune urticaria. Only 30 individuals all over the world are affected with this rare type of skin condition. Almost one in 15 people will develop water urticaria at some time in their lives. Her doctors say she may be the youngest person ever. What its like being allergic to water wellness us news. Urticaria from the urtica, nettle from urere, to burn commonly referred to as hives, is a kind of skin rash notable for pale red, raised, itchy bumps.
Jean s mcgee department of dermatology, boston university school of medicine, boston, ma, usa abstract. Although there is no real cure for aquagenic urticaria this is perhaps due to the fact that its been difficult to treat it successfully over the years. This is a very weird allergy and a very rare one at that. It is sometimes described as an allergy, although it is not a true histaminereleasing allergic reaction like some other forms of urticaria. It is common for the rash to be itchy and painful, which can cause extreme discomfort for the patient. Aquagenic urticaria or water allergy being allergic to water is a typical form of physical hives that is caused when the person comes in contact with the water. The water could be placed directly on the skin or through a wet, saturated paper towel. Application of petrolatum prior to swimming is a consideration mcgee. However there are some common sense steps you can take. Aquagenic urticaria is a rare condition in which urticaria hives develop rapidly after the skin comes in contact with water, regardless of its temperature 1. Contact urticaria contact urticaria is an important manifestation of natural rubber latex allergy. Home remedies for aquagenic pruritus herbal remedies info. Aquagenic urticaria, also known as water allergy and water urticaria, is a rare form of physical urticaria in which hives develop on the skin after contact with water, regardless of its temperature.205 239 638 879 716 670 1281 456 1115 293 531 1338 891 990 204 92 1235 958 1354 1572 1578 1516 1321 896 391 1155 170 499 394 1275 1037 138 770 1358 415 574 1197 340 1350 1148 1308 972 1280 685 444 528 1410 359 671 1292 1419