Aquagenic syringeal acrokeratoderma in an adolescent female with COVID-19


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Alay H. , Bilen H.

REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL, vol.54, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 54
  • Publication Date: 2021
  • Doi Number: 10.1590/0037-8682-0152-2021
  • Title of Journal : REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL

Abstract

A 14-year-old female patient reported stinging and pain

following contact with water and presented with raised white

eruptions 10 days after being diagnosed with COVID-19. The

patient reported that the eruptions appeared within 5 min after

bathing and disappeared in 2-3 h. She had no history of plantar

involvement, skin diseases, atopy, drug use, compression or

trauma. Dermatological examination revealed that the following

changes occurred upon contact with water: hypopigmentation in

both palmar regions, thickening of the skin, and the appearance of

pronounced palmar creases and symmetrical, white-shiny papules

(diameter, 1 mm) (Figure 1A). Physical examination and laboratory

test findings were unremarkable. Suspecting that the lesions may

have been caused by frequent handwashing during the COVID-19

pandemic, the patient was advised to avoid using disinfectants

unless absolutely necessary and to use soap and water for washing.

Two months after following this advice, the lesions appeared to have

regressed (Figure 1B), and by the third month, the lesions did not

appear upon contact with water (Figure 2).