水源性荨麻疹
皮肤病
水源性荨麻疹(Aquagenic urticaria)也称为水过敏(water allergy)或是水荨麻疹(water urticaria),是罕见的物理荨麻疹症状。有时会将水源性荨麻疹视为过敏,不过水源性荨麻疹不会有释放组织胺的过敏反应。水源性荨麻疹的症状是在皮肤接触到水时会疼痛。症状和接触到的水是温水或是冷水无关,和水中的化学物质(例如氟及氯)也无关,因为若接触蒸馏水或是生理食盐水,也会有类似症状[1]。
水源性荨麻疹 Aquagenic Urticaria | |
---|---|
类型 | 荨麻疹、遗传性疾病 |
分类和外部资源 | |
医学专科 | 皮肤病学 |
ICD-10 | L50.8 (ILDS L50.830) |
OMIM | 191850 |
MeSH | C562481 |
症状和体征
水源性荨麻疹的主要症状会是出现荨麻疹,可能会痒,也可能不会可能会痒,若皮肤没有荨麻疹,接触水之后会痒,则是水源性瘙痒。水痛症则是接触水之后会疼痛的症状[来源请求][2]。
严重的水源性荨麻疹,可能会在喝水时出现口腔肿胀[3]、喉咙肿胀[4],也可能会出现过敏反应,但相当罕见[5][6][7]。
和水源性荨麻疹有关的荨麻疹多半比较小(约1–3 mm),红色或是肤色的疹子,有清楚的边缘、多半会出现在颈部、胸腹部以及手臂,不过在身体任何部分都有可能出现。若造成荨麻疹的水移除之后,疹子约在30分钟到一小时内会消退[8]。
任何种类的水都可能造成水源性荨麻疹,包括自来水、海水、游泳池的水、汗水、泪水或是唾液都可能造成水源性荨麻疹[9][10][11]。
相关条目
参考资料
- ^ Aquagenic Urticaria: A Report of Two Cases. [2016-10-07]. (原始内容存档于2014-08-07).
- ^ Shelley, Walter B.; Shelley, E.Dorinda. Aquadynia: Noradrenergic pain induced by bathing and responsive to clonidine. Journal of the American Academy of Dermatology. February 1998, 38 (2): 357–358. ISSN 0190-9622. PMID 9486716. doi:10.1016/s0190-9622(98)70583-3.
- ^ Seol, Jung Eun; Kim, Do Hyeong; Park, So Hee; Kang, Jeong Nan; Sung, Ho Suk; Kim, Hyojin. Aquagenic Urticaria Diagnosed by the Water Provocation Test and the Results of Histopathologic Examination. Annals of Dermatology. June 2017, 29 (3): 341–345. PMC 5438944 . PMID 28566914. doi:10.5021/ad.2017.29.3.341.
- ^ The woman who is allergic to water.
- ^ JUST ONE CUP OF WATER COULD KILL LITTLE HEIDI; Girl's deadly allergy means she cannot weep, wash, drink, play or even stand in the rain. - Free Online Library.
- ^ Girl allergic to water. 14 December 2018.
- ^ Here's What Happens when You Develop an Allergy to Water. 15 December 2015.
- ^ Park, H; Kim, H. S.; Yoo, D. S.; Kim, J. W.; Kim, C. W.; Kim, S. S.; Hwang, J. I.; Lee, J. Y.; Choi, Y. J. Aquagenic urticaria: A report of two cases. Annals of Dermatology. 2011, 23 (Suppl 3): S371–4. PMC 3276800 . PMID 22346281. doi:10.5021/ad.2011.23.S3.S371.
- ^ Sibbald, R. G.; Black, A. K.; Eady, R. A.; James, M; Greaves, M. W. Aquagenic urticaria: Evidence of cholinergic and histaminergic basis. The British Journal of Dermatology. 1981, 105 (3): 297–302. PMID 7272209. S2CID 37931708. doi:10.1111/j.1365-2133.1981.tb01289.x.
- ^ Harwood, C. A.; Kobza-Black, A. Aquagenic urticaria masquerading as occupational penicillin allergy. The British Journal of Dermatology. 1992, 127 (5): 547–8. PMID 1467303. S2CID 27755086. doi:10.1111/j.1365-2133.1992.tb14862.x.
- ^ Martínez-Escribano, J. A.; Quecedo, E; de la Cuadra, J; Frías, J; Sánchez-Pedreño, P; Aliaga, A. Treatment of aquagenic urticaria with PUVA and astemizole. Journal of the American Academy of Dermatology. 1997, 36 (1): 118–9. PMID 8996279. doi:10.1016/s0190-9622(97)70344-x.