Palmar wrinkling: Identification of a peculiar pattern at incident light dermoscopy with confocal microscopy correlation

Lacarrubba, Francesco; Verzì, Anna Elisa; Leonardi, ﻿Salvatore; Trovato, Giuseppe; Micali, Giuseppe

doi:10.1016/j.jaad.2016.01.058

Cited by 10 publications

(17 citation statements)

References 3 publications

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“…Patients are asked to do the water immersion test; to immerse their hands in water at 15 °C for 5 minutes, replicating the symptoms . On dermoscopy, hypertrophy of the stratum corneum and dilation of eccrine ostia is seen after brief contact with water . In histopathology, the biopsy should be taken after water immersion.…”

Section: Section Imentioning

confidence: 99%

“…19 On dermoscopy, hypertrophy of the stratum corneum and dilation of eccrine ostia is seen after brief contact with water. 23,24 In histopathology, the biopsy should be taken after water immersion. It usually shows orthokeratosis with mild acanthosis, dilation of eccrine acrosyringia, and a vacuolated appearance of the secretory eccrine coils.…”

Section: Aquagenic Wrinkling Of the Palms (Awp)mentioning

confidence: 99%

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Water‐related dermatoses

Hamie

Abou-Rahal

2018

Int J Dermatology

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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.

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Section: Section Imentioning

confidence: 99%

Section: Aquagenic Wrinkling Of the Palms (Awp)mentioning

confidence: 99%

Water‐related dermatoses

Hamie

Abou-Rahal

2018

Int J Dermatology

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“…2 ASA is typically associated with white to translucent edematous papules and plaques after exposure to water, although the increased recognition of ASA has led to a more diverse clinical picture. Reported cases have demonstrated physical findings ranging from macerated skin, 3,4 dilated eccrine ostia, [5][6][7] linear plaques, 8 tripe-like skin, 3 hyperhidrosis, 3,6,7 and pruritus or burning. 9 In all cases, however, the unifying clinical characteristic is accentuation of these features upon exposure to water for several minutes and then clearance of the lesions promptly after drying.…”

mentioning

confidence: 99%

“…Typical histologic findings of water-exposed lesions in ASA include orthohyperkeratosis, dilated sweat duct ostia (which can be visualized with dermoscopy), 5,7,8,10,13 dilated eccrine ducts, hypergranulosis, acanthosis, hyperplasia of eccrine glands with clear-cell change and vacuolation, and increased capillaries around eccrine coils. 14 We…”

mentioning

confidence: 99%

“…The palm of a patient with "atypical" aquagenic syringeal acrokeratoderma before exposure to water demonstrating several skin-colored papules (the most prominent papules are identified with a black arrow) identified 134 cases of ASA reported in the literature and we summarize the commonly reported microscopic findings in Table 1. [2][3][4][5][6][7][8][9][10][11] Other water-induced dermatoses have been reported in the literature. Both aquagenic urticaria and aquagenic pruritus, as their names imply, are induced upon exposure of the skin to water.…”

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confidence: 99%

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Atypical familial aquagenic syringeal acrokeratoderma

et al. 2020

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Excessive Wrinkling on the Dorsum of the Hands and Wrists

Zhang

2022

JAMA Dermatol

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An otherwise healthy man in his 20s presented to the dermatology department with thickening and swelling of hands after immersion in water, accompanied by burning pruritus for 3 years. The lesions occurred as symmetrical white and transparent papules, white keratosis, excessive wrinkling on the dorsum of hands after water immersion and worsened in summer, and remitted in winter. He was treated with topical tretinoin ointment intermittently per a diagnosis of chronic eczema at the local clinic with little improvement. The lesions gradually aggravated, and the affected area dispersed to wrists and elbows during past the 1.5 years. He attributed these changes to the need for washing hands frequently in the period of the COVID-19 epidemic. He had no family history of similar skin problems and did not have a history of hyperhidrosis, cystic fibrosis, atopy, or trauma to the hands.Physical examination showed some changes emerged on both hands after water immersion contrasting with any other condition (Figure , A and B). We took a skin biopsy specimen from white papules on the right hand, and representative histopathologic features are shown in the Figure, C and D.

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Palmar wrinkling: Identification of a peculiar pattern at incident light dermoscopy with confocal microscopy correlation

Cited by 10 publications

References 3 publications

Water‐related dermatoses

Water‐related dermatoses

Atypical familial aquagenic syringeal acrokeratoderma

Excessive Wrinkling on the Dorsum of the Hands and Wrists

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