ABSTRACT

Aquagenic syringeal acrokeratoderma (ASA); which is a rare acquired condition with unknown etiology appears to predominantly affect adolescent and young adult women. ASA is characterized by symmetrical, translucent, whitish papules with burning sensation which are localized mainly on palms and sometimes plantar regions and developing after few minutes of exposure to warm water. The condition spontaneously resolves after drying. Diagnosis of the disease is established by clinical and histopathologic examinations. Histopathologically, dilatation is observed on hyperkeratosis and dilated ecrine ducts. It has been reported that dermatoscopy is useful in diagnosing ASA with the increasing use of in recent years. Herein, we report, a twenty-one year old woman presented with a seven-month-history of burning sensation, whitening and thickening of the skin on both palms after sweating or immersion in water for a few minutes. In this case the diagnosis of ASA was based on clinical, histopathological and dermatoscopic features.