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http://dx.doi.org/10.1016/S0140-6736(16)31636-1DOI Listing

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Aquagenic syringeal acrokeratoderma (ASA) is a rare dermatological condition characterized by the transient appearance of edematous, white, translucent papules on the palms following water exposure. While the condition is most commonly associated with cystic fibrosis (CF) and predominantly affects young women, this report presents a unique case in a 24-year-old man without a history of cystic fibrosis. The patient reported a 10-month history of painful, pruritic eruptions on the hands following exposure to water.

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Wood's light as a noval diagnostic tool in aquagenic keratoderma.

Skin Health Dis

June 2024

Dermatology Prince Mohammed Medical City AlJowf Saudi Arabia.

Article Synopsis
  • Aquagenic keratoderma is a rare skin condition that causes wrinkling and translucent papules on the palms and occasionally the soles when exposed to water.
  • It is commonly seen in patients with cystic fibrosis or those who are carriers of the cystic fibrosis gene, with an estimated occurrence of up to 41% in that population.
  • The paper discusses a novel approach using Wood's light as a diagnostic tool for aquagenic keratoderma, marking the first reported case of its application in this context.
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This is the third paper in the series providing updated information and recommendations for people with cystic fibrosis transmembrane conductance regulator (CFTR)-related disorder (CFTR-RD). This paper covers the individual disorders, including the established conditions - congenital absence of the vas deferens (CAVD), diffuse bronchiectasis and chronic or acute recurrent pancreatitis - and also other conditions which might be considered a CFTR-RD, including allergic bronchopulmonary aspergillosis, chronic rhinosinusitis, primary sclerosing cholangitis and aquagenic wrinkling. The CFTR functional and genetic evidence in support of the condition being a CFTR-RD are discussed and guidance for reaching the diagnosis, including alternative conditions to consider and management recommendations, is provided.

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