Aquagenic Urticaria Diagnosed by the Water Provocation Test and the Results of Histopathologic Examination

• DOI: 10.5021/ad.2017.29.3.341
• Publication Date: 2017-05-18T10:20:27Z
• Authors: Jung Eun Seol; Do Hyeong Kim; So Hee Park; Jeong Nan Kang; Ho Suk Sung; Hyojin Kim
• Keywords: Erythema

An 18-year-old male visited our department complaining of recurrent episodes an itchy rash after hand washing, showering/bathing, drinking water, and getting rain-soaked. He was diagnosed with aquagenic urticaria a water provocation test histopathologic examination. Five months antihistamine treatment successfully prevented further wheal formation. Aquagenic is very unusual form physical caused by contact water. It manifests as pruritic small wheals surrounded erythema within 30 minutes exposure. The condition can be test. Systemic antihistamines are the first-line treatment, anticholinergics, phototherapy, or barrier cream used alternatively additionally. Four cases have been reported in Korea, but no evaluation English Korean literature. Herein, we provide both case report examination results for this patient.