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Transient aquagenic palmar hyperwrinkling: the first instance reported in a young boy
Iria Neri1, Federica Bianchi, Annalisa Patrizi
1Department of Clinical and Experimental Medicine, Section of Dermatology, University of the Study of Bologna, Italy.
Transient reactive papulotranslucent acrokeratoderma, a rare palmoplantar condition, presents as water-induced white papules on the palms. This report details the first case diagnosed in a young boy, expanding known demographics.
Area of Science:
- Dermatology
- Medical Science
Background:
- Transient reactive papulotranslucent acrokeratoderma is a rare palmoplantar condition.
- It predominantly affects adolescent and young adult women.
Observation:
- Characterized by translucent white papules on the palms after water exposure.
- The diagnostic "hands-in-the-bucket" sign appears upon water submersion.
- Histology reveals mild orthokeratotic hyperkeratosis and dilated eccrine ducts.
Findings:
- The study proposes the term "transient aquagenic palmar hyperwrinkling."
- Previously, 12 cases (all female, ages 9-33) were reported.
- This paper documents the first case in a young boy.
Implications:
- This finding expands the known demographic for transient aquagenic palmar hyperwrinkling.
- Highlights the importance of considering this condition in pediatric males.
- Suggests further research into potential sex-based differences or triggers.
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