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2014, Number 4

AMC 2014; 18 (4)

Aquagenic urticaria: a case presentation

Hernández VM, Sugrañes MA
Full text How to cite this article

Language: Spanish
References: 10
Page: 444-450
PDF size: 181.04 Kb.


Key words:

urticaria/diagnosis, urticaria/therapy, skin/injuries, infant, case reports.

ABSTRACT

Background: aquagenic urticaria is an uncommon presentation of physical urticaria.
Objective: to describe the clinical manifestations and the behavior to follow in an infant.
Clinical case: a seven-months-old, white, female infant. The parents said that since she was born, some little wheals started to appear in the trunk, arms and legs that coincided with the bath time and disappeared 30-60 minutes later. In spite of changing soaps and the water temperature the manifestations remained. The parents also said that the lesions in the skin did not appear when taking a bathe in the sea. Family atopic antecedents were positive. When the baby is given a bath, the appearance of the lesions in the skin could be verified. The presence of aquagenic urticaria was diagnosed and antihistamines were prescribed for the treatment. The patient condition had a good progress.
Conclusions: aquagenic urticaria is not frequent in infants. The good progress and the life of the patient, which could be affected by the disease since extracutaneous manifestations come with it, depend on the correct diagnosis and treatment.


REFERENCES

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  2. Church M, Weller K, Stock P, Maurer M. Chronic spontaneous urticaria in childrens: Itching for insight. Pediatric Allergy and Immunol. 2011 Feb;(22):12-20.

  3. Shelley WB, Rawnsley HM. Aquagenic urticaria. Contact sensitivy reaction to water. JAMA. 1964 Sep 21;189:2-5.

  4. Paiva Seize MB de M, Ianhez M, Souza PK de, Rotta O, Pereira Cestari S da C. Urticária aquagênica familiar: relato de dois casos e revisão da literatura. An Bras Dermatol [Internet]. Sept-Oct 2009 [citado 12 Oct 2013];84(5):[aprox. 8 p.]. Disponible en: http://www.scielo.br/scielo.php?pid=S036505962009000500015 & script=sci_arttext

  5. Park H, Kim HS, Yoo DS, Kim JW, Kim CW, Kim SS, et al. Aquagenic Urticaria: a report of two cases. Ann Dermatol. 2011 Dec;23(3):24-6.

  6. Pitarch G, Torrijos A, Martínez-Menchón T, Sánchez-Carazo JL, Fortea JM. Familial aquagenic urticaria and bernard-soulier syndrome. Dermatology. 2006;212(1):1-2.

  7. Kaplan AP. What the first 10,000 patients with chronic urticaria have taught me: a personal journey. J Allergy Clin Immunol. 2009 Mar;123(3):3-8.

  8. Brodell LA, Beck LA, Saini SS. Fisiopatología de la urticaria crónica. Ann Allergy Asthma Immunol. 2008 Apr;100(4):4-9.

  9. Di Lorenzo G, Leto-Barone MS, La Piana S, Seidita A, Rini GB. Chronic spontaneous urticaria: An autoimmune disease? Clin Exp Med. 2013 Aug;13(3):6-14.

  10. Plaza AM, Giner MT, Piquer M. Urticaria y Angioedema. En: Mendez J, Huerta J, Bellanti JA, Ovilla R, Escobar A, editores. Alergia: Enfermedad Multisistémica. Aspectos básicos y clínicos. 1ª ed. México: Editorial Panamericana; 2008. p. 245-50.




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