1
|
Polascik BW, Karklins SP, Johnson MC, Hammert WC, McMichael AJ. Acquired Aquagenic Syringeal Keratoderma Following COVID-19 Infection. Hand (N Y) 2024:15589447241233371. [PMID: 38439631 DOI: 10.1177/15589447241233371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
Aquagenic syringeal keratoderma (ASK), rare in males, is characterized by the rapid onset of edematous palmar wrinkling with small white papules after brief contact with water or sweat. A 24-year-old atopic male presented with a 2-week subacute history of bilateral palmar edema with whitish-colored papules after exposure to water, 3 months after having had COVID-19 infection treated with a full course of ritonavir-boosted nirmatrelvir (PAXLOVIDTM). He had received 3 COVID-19 vaccines (Pfizer, New York, NY) about 12 months prior. Workup was negative. Initial spontaneous near-resolution 2 months after onset was temporary, with recurrence 1 month later. Treatment with 12% topical aluminum chloride was ineffective. Botulinum toxin injection to both palms led to resolution of symptoms that has been sustained for 7 months. The association between atopy and ASK remains weak. We present a case of new-onset ASK in an adult male 3 months following COVID-19 infection without a history of excessive handwashing. Our patient may have had a predisposition to recurrent ASK due to his history of atopy including atopic dermatitis and food allergy anaphylaxis combined with prior COVID-19 infection. It is possible that ASK is a novel manifestation of post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PASC) infection or long COVID.
Collapse
Affiliation(s)
- Bryce W Polascik
- Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | | | - Matthew C Johnson
- Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| | - Warren C Hammert
- Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA
| | - Amy J McMichael
- Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA
| |
Collapse
|
2
|
Martín Moreno V, Martín Fernández A, Sánchez Membrilla Á, Sánchez-Redondo Mayordomo R, Martínez Sanz MI. [Aquagenic keratoderma: A rare disease in the COVID age?]. Semergen 2024; 50:102072. [PMID: 37984274 DOI: 10.1016/j.semerg.2023.102072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 07/15/2023] [Indexed: 11/22/2023]
|
3
|
Carbonell Pradas M, Grimalt Santacana R. [Translated article] Aquagenic Keratoderma: Treatment Update. ACTAS DERMO-SIFILIOGRAFICAS 2022. [DOI: 10.1016/j.ad.2022.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
4
|
Vazquez T, Zarei M, Herskovitz I, Price A, Villada G, Keri J. Atypical familial aquagenic syringeal acrokeratoderma. J Cutan Pathol 2021; 47:991-996. [PMID: 33464626 DOI: 10.1111/cup.13704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 02/22/2020] [Accepted: 03/30/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Thomas Vazquez
- Florida International University Wertheim College of Medicine, Miami, Florida, USA.,Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Mina Zarei
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Ingrid Herskovitz
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Alexandra Price
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Gabriel Villada
- Pathology & Laboratory Medicine Service, Miami Veterans Affairs Healthcare System, Miami, Florida
| | - Jonette Keri
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| |
Collapse
|
5
|
Carbonell Pradas M, Grimalt Santacana R. Aquagenic Keratoma: Treatment Update. ACTAS DERMO-SIFILIOGRAFICAS 2021; 113:254-260. [PMID: 34126071 DOI: 10.1016/j.ad.2021.05.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 05/14/2021] [Accepted: 05/23/2021] [Indexed: 11/19/2022] Open
Abstract
{0>La Queratodermia Acuagénica (QA) es una afectación dermatológica adquirida poco frecuente que se caracteriza por la aparición de edema y pápulas blanquecinas-translúcidas desencadenado por la inmersión o contacto con agua.<}100{>Aquagenic keratoderma is an uncommon acquired dermatosis characterized by edema and whitish-translucent papules triggered by immersion or contact with water.<0} {0>Se han descrito casos asociados a fármacos, hiperhidrosis y a fibrosis quística.<}100{>Cases have been described in association with certain medications, hyperhidrosis, and cystic fibrosis.<0} {0>Los objetivos del estudio son evaluar la efectividad de los distintos tratamientos existentes para la QA.<}0{>The aim of this review is to evaluate the effectiveness of different treatments for aquagenic keratoderma.<0} {0>Realizamos una revisión de la literatura existente al respecto hasta el momento, incluyendo series de casos y reportes de caso.<}94{>We reviewed the literature and analyzed treatments for aquagenic keratoderma described in case series and reports.<0} {0>El tratamiento de la QA es efectivo en las formas asociadas a hiperhidrosis.<}100{>Aquagenic keratoderma associated with hyperhidrosis can be treated effectively.<0} {0>La iontoforesis de agua del grifo, la simpatectomía torácica endoscópica, las inyecciones de toxina botulínica y la oxibutinina son efectivas en las formas refractarias.<}100{>Tap water iontophoresis, endoscopic thoracic sympathectomy, botulinum toxin injections, and oxybutynin are effective against refractory forms.<0} {0>La aplicación tópica de ácido salicílico o sales de aluminio es efectiva pero resulta poco eficaz como tratamiento de mantenimiento.<}0{>Topical salicylic acid and aluminum salts are effective, but of little value as maintenance therapy.<0} {0>Probablemente la mejor alternativa para el tratamiento de la QA sea la Oxibutinina 5mg/día v.o.<}100{>Oral oxybutynin 5 mg/d is probably the best option for treating aquagenic keratoderma.<0} {0>Se ha observado que los efectos fisiopatológicos de los antiinflamatorios no esteroideos en la QA podrían justificar el uso de las prostaglandinas como un tratamiento dirigido de la enfermedad.<}100{>The reported pathophysiological effects of nonsteroidal anti-inflammatory drugs in this setting suggest that the use of prostaglandins might be justified.<0} {0>Se necesitan estudios adicionales para fortalecer estas deducciones y abordar las incertidumbres restantes.<}100{>Additional studies are needed to investigate these hypotheses and resolve other questions.<0}.
Collapse
Affiliation(s)
- M Carbonell Pradas
- Facultat de Medicina i Ciències de la Salut, UIC-Barcelona, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España
| | - R Grimalt Santacana
- Facultat de Medicina i Ciències de la Salut, UIC-Barcelona, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España.
| |
Collapse
|
6
|
Narang I, Mohandas P, Hawari R, Nambi R. A unique 'hand in bucket' sign in a case of acquired unilateral aquagenic syringeal acrokeratoderma. Clin Exp Dermatol 2020; 45:1100-1102. [PMID: 32696516 DOI: 10.1111/ced.14338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/26/2020] [Indexed: 11/28/2022]
Affiliation(s)
- I Narang
- Department of Dermatology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
| | - P Mohandas
- Department of Dermatology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
| | - R Hawari
- Department of Pathology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
| | - R Nambi
- Department of Dermatology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK
| |
Collapse
|
7
|
Dermatosis inducida por el agua: queratodermia acuagénica, a propósito de un caso. ACTA ACUST UNITED AC 2019; 39:247-251. [DOI: 10.7705/biomedica.v39i2.4524] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Indexed: 11/21/2022]
Abstract
La queratodermia acuagénica es una entidad benigna, caracterizada por producir pápulas blanquecinas o traslúcidas pocos segundos después del contacto con el agua.Se presenta el caso de una paciente de 16 años de edad con aparición de múltiples pápulas confluentes y asintomáticas en ambas palmas al contacto con el agua, que desaparecían luego del secado. En el estudio de histopatología se observó dilatación de los conductos ecrinos y cambios en el estrato córneo.Esta rara condición de etiología desconocida se ha relacionado con disfunción neuronal, alteraciones de las glándulas ecrinas y, más recientemente, con alteraciones en las acuaporinas. Se puede diagnosticar con una prueba semiológica sencilla llamada ‘la mano en el balde’; la sospecha clínica es fundamental para hacer el diagnóstico, ya que los hallazgos histopatológicos pueden ser sutiles e inespecíficos. El tratamiento tópico incluye mecanismos de barrera y la toxina botulínica.
Collapse
|
8
|
Hamie L, Abou-Rahal J. Water-related dermatoses. Int J Dermatol 2018; 58:515-529. [PMID: 30506676 DOI: 10.1111/ijd.14316] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 09/27/2018] [Accepted: 10/31/2018] [Indexed: 01/22/2023]
Abstract
Water-related dermatoses are a spectrum of diseases that are associated with water exposure. They result either from the direct influence of water or after injury from water inhabitants. In this review, clinical entities that manifest after water exposure (aquagenic pruritus, aquagenic urticaria, and aquagenic wrinkling of the palms) will be discussed with particular focus on the reported pathogenesis. Aquatic organisms and activities can be linked to cutaneous injuries that require identification and distinct management. Marine and freshwater dermatoses were summarized to provide physicians with easy access to the causative organism, method of injury, and appropriate management.
Collapse
Affiliation(s)
- Lamiaa Hamie
- Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Jihane Abou-Rahal
- Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon
| |
Collapse
|
9
|
Caractéristiques cliniques et évolutives de la kératodermie aquagénique de l’enfant : étude rétrospective de 12 cas. Ann Dermatol Venereol 2018; 145:250-256. [DOI: 10.1016/j.annder.2018.01.042] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 09/21/2017] [Accepted: 01/19/2018] [Indexed: 11/17/2022]
|
10
|
From Classical to Unusual: Report on 5 Cases of Transient Reactive Aquagenic Pseudokeratoderma and Review of the Literature. Am J Dermatopathol 2017; 39:935-942. [DOI: 10.1097/dad.0000000000000815] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
11
|
Translucent whitish papules on the palms after exposure to the water - aquagenic syringeal acrokeratoderma. Postepy Dermatol Alergol 2017; 34:372-374. [PMID: 28951715 PMCID: PMC5560188 DOI: 10.5114/ada.2017.69321] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 06/25/2016] [Indexed: 12/04/2022] Open
|
12
|
Leung AKC, Barankin B. Case 3: Recurrent Lesions on Palms of a 12-year-old Girl. Pediatr Rev 2017; 38:48. [PMID: 28044035 DOI: 10.1542/pir.2015-0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
13
|
Dhawan AK, Bisherwal K, Gandhi V, Kawthekar P, Diwaker P. Aquagenic syringeal acrokeratoderma. Indian Dermatol Online J 2016; 7:327-9. [PMID: 27559519 PMCID: PMC4976424 DOI: 10.4103/2229-5178.185490] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Amit Kumar Dhawan
- Department of Dermatology and STD, Dr. Dhawan's Skin, Cosmetology and Laser Clinic, Delhi, India
| | - Kavita Bisherwal
- Department of Dermatology and STD, University College of Medical Sciences (UCMS), Guru Tegh Bahadur Hospital, Delhi, India
| | - Vijay Gandhi
- Department of Dermatology and STD, University College of Medical Sciences (UCMS), Guru Tegh Bahadur Hospital, Delhi, India
| | - Prachi Kawthekar
- Department of Dermatology and STD, University College of Medical Sciences (UCMS), Guru Tegh Bahadur Hospital, Delhi, India
| | - Preeti Diwaker
- Department of Pathology, University College of Medical Sciences (UCMS), Guru Tegh Bahadur Hospital, Delhi, India
| |
Collapse
|
14
|
Krøigård AB, Hetland LE, Clemmensen O, Blaydon DC, Hertz JM, Bygum A. The first Danish family reported with an AQP5 mutation presenting diffuse non-epidermolytic palmoplantar keratoderma of Bothnian type, hyperhidrosis and frequent Corynebacterium infections: a case report. BMC DERMATOLOGY 2016; 16:7. [PMID: 27255181 PMCID: PMC4891830 DOI: 10.1186/s12895-016-0044-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 05/23/2016] [Indexed: 11/30/2022]
Abstract
Background An autosomal dominant form of diffuse non-epidermolytic palmoplantar keratoderma, palmoplantar keratoderma of Bothnian type, is caused by mutations in the AQP5 gene encoding the cell-membrane water channel protein aquaporin 5 leading to defective epidermal-water-barrier function in the epidermis of the palms and soles. Case presentation We report the first Danish family diagnosed with diffuse non-epidermolytic palmoplantar keratoderma of Bothnian type in which fourteen individuals are potentially affected. The proband, a 36-year-old male had since childhood been affected by pronounced hyperhidrosis of the palms and soles along with palmoplantar keratoderma. He reported a very distinctive feature of the disorder, aquagenic wrinkling, as he developed pronounced maceration of the skin with translucent white papules and a spongy appearance following exposure to water. The patient presented recurrent fungal infections, a wellknown feature of the condition, but also periodic worsening with pitted keratolysis and malodour due to bacterial infections. Conclusions Palmoplantar keratoderma of Bothnian type, which may be associated with hyperhidrosis, is frequently complicated by fungal infections and may be complicated by Corynebacterium infections. Electronic supplementary material The online version of this article (doi:10.1186/s12895-016-0044-3) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Anne Bruun Krøigård
- Department of Clinical Genetics, Odense University Hospital, Odense, Denmark. .,Department of Clinical Pathology, Odense University Hospital, Odense, Denmark.
| | - Liv Eline Hetland
- Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark
| | - Ole Clemmensen
- Department of Clinical Pathology, Odense University Hospital, Odense, Denmark
| | - Diana C Blaydon
- Centre for Cell Biology and Cutaneous Research, Blizard Institute, Bart and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Jens Michael Hertz
- Department of Clinical Genetics, Odense University Hospital, Odense, Denmark
| | - Anette Bygum
- Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark
| |
Collapse
|
15
|
Akin Belli A, Dogan G. Role of cyclooxygenase inhibitors in aquagenic syringeal acrokeratoderma. J Eur Acad Dermatol Venereol 2016; 30:e220-e221. [PMID: 26833962 DOI: 10.1111/jdv.13551] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- A Akin Belli
- Department of Dermatology, Mugla Sitki Kocman University Training and Research Hospital, Muğla, Turkey
| | - G Dogan
- Department of Dermatology, Mugla Sitki Kocman University, Muğla, Turkey
| |
Collapse
|
16
|
Abstract
Aquagenic syringeal acrokeratoderma is a newly described condition of the palms and soles characterized by hypopigmented papules and plaques, elicited after submersion in water. Symptoms include a burning pain and a tightening sensation in the palms, as well as hyperhidrosis. Initially thought to be rare, its frequent citation in the literature points to a more common entity. It is more often found in young women and has been linked to a number of medications and illnesses, including nonsteroidal anti-inflammatory drugs and cystic fibrosis. It is typically self-limiting, but certain medications such as topical aluminum chloride or salicylic acid ointment have been found to be an effective treatment option. This case details a collegiate-level coxswain who presented to the university athletic training room with a typical presentation of aquagenic syringeal acrokeratoderma. For an aquatic athlete, aquagenic syringeal acrokeratoderma can be a distressing condition that can limit training and athletic participation. As such, the sports medicine physician should be knowledgeable about aquagenic syringeal acrokeratoderma to provide effective counseling and treatment options for the athlete.
Collapse
Affiliation(s)
- Jeremy B Kent
- Department of Family Medicine, University of Virginia Health System, Charlottesville, Virginia
| | - Siobhan M Statuta
- Department of Family Medicine, University of Virginia Health System, Charlottesville, Virginia ; Physical Medicine & Rehabilitation, University of Virginia Health System, Charlottesville, Virginia
| | - Kenneth E Greer
- Department of Dermatology, University of Virginia Health System, Charlottesville, Virginia
| | - John M MacKnight
- Internal Medicine and Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia
| |
Collapse
|