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Acquired aquagenic papulotranslucent acrokeratoderma: report of two cases
Muhterem Polat1, Günes Gür, Aylin Pelitli
11st Dermatology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. drmuhterempolat@mynet.com
American Journal of Clinical Dermatology
|June 25, 2008
Summary
Aquagenic papulotranslucent acrokeratoderma (APA) presents as translucent papules on hands and feet after water exposure. Two teenage cases suggest APA may be more common than previously believed, with recurrence after salicylic acid treatment.
Area of Science:
- Dermatology
- Rare skin conditions
Background:
- Aquagenic papulotranslucent acrokeratoderma (APA) is an uncommon acquired skin disorder.
- Characterized by translucent papules on hands and feet, exacerbated by water exposure.
Observation:
- Presents two cases of APA in teenage girls.
- Lesions appeared as bilateral, symmetric, translucent-to-white papules on hands and feet.
- Symptoms worsened after brief water immersion.
Findings:
- Both patients showed improvement with 5% salicylic acid ointment.
- Recurrence of papules was observed despite treatment.
- The simultaneous presentation of these cases suggests APA might be underreported.
Implications:
- APA may not be as rare as initially thought.
- Further research is needed to understand the prevalence and pathophysiology of APA.
- Salicylic acid can manage symptoms, but long-term treatment strategies require investigation.
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