水源性蕁麻疹
外观
水源性蕁麻疹 Aquagenic Urticaria | |
---|---|
类型 | 荨麻疹、遺傳性疾病 |
分类和外部资源 | |
醫學專科 | 皮肤病学 |
ICD-10 | L50.8 (ILDS L50.830) |
OMIM | 191850 |
MeSH | C562481 |
水源性蕁麻疹(Aquagenic urticaria)也稱為水過敏(water allergy)或是水蕁麻疹(water urticaria),是罕見的物理荨麻疹症狀。有時會將水源性蕁麻疹視為过敏,不過水源性蕁麻疹不會有釋放組織胺的过敏反應。水源性蕁麻疹的症狀是在皮膚接觸到水時會疼痛。症狀和接觸到的水是溫水或是冷水無關,和水中的化學物質(例如氟及氯)也無關,因為若接觸蒸餾水或是生理食鹽水,也會有類似症狀[1]。
症狀和體徵
[编辑]水源性蕁麻疹的主要症狀會是出現荨麻疹,可能會癢,也可能不會可能會癢,若皮膚沒有荨麻疹,接觸水之後會癢,則是水源性瘙痒。水痛症則是接觸水之後會疼痛的症狀[來源請求][2]。
嚴重的水源性蕁麻疹,可能會在喝水時出現口腔腫脹[3]、喉嚨腫脹[4],也可能會出現過敏反應,但相當罕見[5][6][7]。
和水源性蕁麻疹有關的蕁麻疹多半比較小(約1–3 mm),紅色或是膚色的疹子,有清楚的邊緣、多半會出現在頸部、胸腹部以及手臂,不過在身體任何部份都有可能出現。若造成蕁麻疹的水移除之後,疹子約在30分鐘到一小時內會消退[8]。
任何種類的水都可能造成水源性蕁麻疹,包括自來水、海水、游泳池的水、汗水、淚水或是唾液都可能造成水源性蕁麻疹[9][10][11]。
相關條目
[编辑]參考資料
[编辑]- ^ 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.
外部連結
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