Urticária aquagênica: relato de caso e revisão de literatura
Aquagenic urticaria: a case report and literature review
Bruna Gehlen; Isadora França de Almeida Oliveira Guimarães; Giovanna Cobas Pedreira; Jorge Kalil; Antônio Abilio Motta; Rosana Câmara Agondi
Resumo
A urticária aquagênica é uma forma rara de urticária crônica induzida (UCInd) desencadeada por um estímulo específico. A patogênese não é totalmente compreendida, mas os sintomas se iniciam minutos após a exposição cutânea à água, independentemente de sua temperatura, e as urticas têm o padrão foliculocêntricas. O diagnóstico é confirmado através do teste de provocação, e o tratamento de primeira linha são os anti-histamínicos de segunda geração. Neste artigo, relatamos um caso de urticária aquagênica e fazemos uma breve revisão da literatura sobre o tema.
Palavras-chave
Abstract
Aquagenic urticaria is a rare form of chronic inducible urticaria (CIndU) triggered by a specific stimulus. Pathogenesis is not fully understood, but symptoms appear minutes after cutaneous exposure to water, regardless of temperature, and wheals have a folliculocentric pattern. The diagnosis of CIndU is confirmed by provocation testing using established protocols, and first-line treatment is second-generation antihistamines. In this article, we report a case of aquagenic urticaria and provide a brief review of the relevant literature.
Keywords
Referências
1. Shelley WB, Rawnsley HM. Aquagenic Urticaria: Contact Sensitivity Reaction to Water. JAMA. 1964;189(12):895-8.
2. Seize MBMP, Ianhez M, Souza PK, Rotta O, Cestari SCP. Urticária aquagênica familiar: relato de dois casos e revisão da literatura. An Bras Dermatol. 2009;84(5):530-3.
3. McGee JS, Kirkorian AY, Pappert AS, Milgraum SS. An adolescent boy with urticaria to water: review of current treatments for aquagenic urticaria. Pediatr Dermatol. 2014;31(1):116-7.
4. Rorie A, Gierer S. A case of aquagenic urticaria successfully treated with omalizumab. J Allergy Clin Immunol Pract. 2016;4(3):547-8.
5. Maurer M, Hawro T, Krause K, Magerl M, Metz M, et al. Diagnosis and treatment of chronic inducible urticaria. Allergy. 2019 Dec;74(12):2550-3.
6. Maurer M, Fluhr JW, Khan DA. How to Approach Chronic Inducible Urticaria. J Allergy Clin Immunol Pract. 2018;6(4):1119-30.
7. Zuberbier T, Aberer W, Asero R, Abdul Latiff AH, Baker D, BallmerWeber B, et al. The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy. 2018;73(7):1393-414. doi: 10.1111/all.13397.
8. Wang F, Zhao YK, Luo ZY, Gao Q, Wu W, Sarkar R, et al. Aquagenic cutaneous disorders. J Dtsch Dermatol Ges. 2017 Jun;15(6):602-8.
9. Rothbaum R, McGee JS. Aquagenic urticaria: diagnostic and management challenges. J Asthma Allergy. 2016;9:209-13.
10. Amaya D, Sánchez A, Sánchez J. Inducible urticaria: Case series and literature review. Biomedica. 2016;36(1):10-21.
11. Park H, Kim HS, Yoo DS, Kim JW, Kim CW, Kim SS, et al. Aquagenic urticaria: a report of two cases. Ann Dermatol. 2011;23(Suppl 3):S371-4.
12. Fukumoto T, Ogura K, Fukunaga A, Nishigori C. Aquagenic urticaria: Severe extra-cutaneous symptoms following cold water exposure. Allergol Int. 2018;67(2):295-7.
13. Robles-Tenorio A, Tarango-Martinez VM, Sierra-Silva G. Aquagenic urticaria: Water, friend, or foe? Clin Case Rep. 2020;8(11):2121-4.
14. Seol JE, Kim DH, Park SH, Kang JN, Sung HS, Kim H. Aquagenic Urticaria Diagnosed by the Water Provocation Test and the Results of Histopathologic Examination. Ann Dermatol. 2017;29(3):341-5.
15. Maurer M, Metz M, Brehler R, Hillen U, Jakob T, Mahler V, et al. Omalizumab treatment in patients with chronic inducible urticarial: a systematic review of published evidence. J Allergy Clin Immunol. 2018;141:638-49.
16. Tkach JR. Aquagenic urticaria. Cutis. 1981;28(4):454-63. PMID: 7307567.
17. Luong K, Nguyen L. Aquagenic urticaria: report of a case and review of the literature. Ann Allergy, Asthma Immunol. 1998;80(6):483-5.
18. Magerl M, Altrichter S, Borzova E, Giménez-Arnau A, Grattan CE, Lawlor F, et al. The definition, diagnostic testing, and management of chronic inducible urticarias - The EAACI/GA(2) LEN/EDF/UNEV consensus recommendations 2016 update and revision. Allergy. 2016;71(6):780-802.
19. Vieira M, Rosmaninho I, Lopes I, Guilherme A, Moreira da Silva JP. Localized salt-dependent aquagenic urticaria, a rare subtype of urticaria: a case report. Eur Ann Allergy Clin Immunol. 2018;50(3):141-4.
20. Casale TB, Olsen JA, DelasAlas HC. Aquagenic urticaria. J Allergy Clin Immunol Pract. 2013;1(3):295-6.
21. Chicharro P, Rodríguez P, de Argila D. Omalizumab in the Treatment of Chronic Inducible Urticaria. Actas Dermosifiliogr. 2017 Jun;108(5):423-31.
Submetido em:
10/01/2022
Aceito em:
17/01/2022
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email