Aquagenic pruritus

ICD-10	L29.8
ILDS	L29.83-O

Classification according to ICD-10
L29.8	Other pruritus
ICD-10 online (WHO version 2019)

Aquagenic pruritus is a rare skin disease , with no clinical abnormalities that andauerndem in time up to 40 minutes planar occurring stinging pruritus manifested varying strength directly or in close temporal association with the moistening of affected skin areas by water. Those affected report the occurrence of aquagenic pruritus mainly after showering or bathing. However, body sweat is also mentioned as a trigger. A distinction must be made diagnostically and therapeutically for idiopathic aquagenic pruritus:

Aquagenic pruritus of the elderly (APE = Aquagenic pruritus of the elderly)
Aquagenic urticaria

Word meaning

The name of the disease is derived from Latin: Aquagen = triggered by water , and pruritus = itching .

root cause

The etiology of aquagenic pruritus is unknown. The symptoms can occur as a result of polycythemia vera .

treatment

Acute / curative :

Locally by applying a capsaicin cream to the affected areas

Preventive / preventive :

As a result of the release of histamine , pruritus can be treated with H1 and H2 blockers such as claritin ( loratadine ) or cimetidine .
PUVA bath photochemotherapy

Self help

Many sufferers use short-lasting hot showers to contain the itching, using hot gel pillows or hot air blowers immediately after showering. Using cotton clothing and bedding can prevent or contain the itching.

Web links

AWMF guideline "Diagnostics and Therapy of Chronic Pruritus" on the website of the Association of Scientific Medical Societies

Individual evidence

^ R. Wolf, A. Krakowski: Variations in aquagenic pruritus and treatment alternatives. In: Journal of the American Academy of Dermatology . No. 18 . Mosby, 1988, ISSN 1097-6787 , pp. 1081-1083 .
↑ MB Abdel-Naser, H. Gollnick, CE Orfanos: Aquagenic pruritus as a presenting symptom of polycythemia vera. In: Dermatology . No. 187 (2) . Karger, 1988, ISSN 1018-8665 , p. 130-3 ( karger.com ).
↑ T. Lotti, P. Teofoli, D. Tsampau: Treatment of aquagenic pruritus with topical capsaicin cream . In: Journal of the American Academy of Dermatology . 30 (2 Pt 1), February 1994, ISSN 1097-6787 , p. 232-235 .
^ S. Jahn, G. von Kobyletzki, S. Behrens, A. Röchling, P. Altmeyer, M. Kerscher: Successful treatment of aquagenic pruritus with PUVA bath photochemotherapy . In: Journal of Skin Diseases . No. 72 . Grosse Verlag, 1997, ISSN 0301-0481 , p. 821-824 .

[1] R. Wolf, A. Krakowski: Variations in aquagenic pruritus and treatment alternatives. In: Journal of the American Academy of Dermatology . No. 18 . Mosby, 1988, ISSN 1097-6787 , pp. 1081-1083 .

[2] MB Abdel-Naser, H. Gollnick, CE Orfanos: Aquagenic pruritus as a presenting symptom of polycythemia vera. In: Dermatology . No. 187 (2) . Karger, 1988, ISSN 1018-8665 , p. 130-3 ( karger.com ).

[3] T. Lotti, P. Teofoli, D. Tsampau: Treatment of aquagenic pruritus with topical capsaicin cream . In: Journal of the American Academy of Dermatology . 30 (2 Pt 1), February 1994, ISSN 1097-6787 , p. 232-235 .

[4] S. Jahn, G. von Kobyletzki, S. Behrens, A. Röchling, P. Altmeyer, M. Kerscher: Successful treatment of aquagenic pruritus with PUVA bath photochemotherapy . In: Journal of Skin Diseases . No. 72 . Grosse Verlag, 1997, ISSN 0301-0481 , p. 821-824 .