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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can aquagenic Urticaria In A Child  be Treated?

My daughter has food triggered eczema since she was 2 months old. She just turned 5. At age 1 1/2 she developed Aquagenic urticaria. She can drink water and does not affect her when she ingests water. However, she breaks out into hives when her skin is in contact to water, sweat and even her tears. When she takes a bath, I have to dry her right away and she usually gets very itchy after a bath. I have to dry her right away, in less than a minute after a bath and put her in nice dry cotton pjs. The reaction doesn t last long, it lasts for about 1/2 hour after a bath. She is gonna start kindergarten next year, I am very scared she won t be able to do well at school due to this issue. Her neck is the biggest problem because she sweats when she runs and her skin breaks out horribly due to sweat. Her regular antihistamine (even though strong) does not work, cortisone does not work with these short live bouts of hives either. Is there something I can do to help her???
Tue, 9 Apr 2019
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General & Family Physician 's  Response
Hi,

You can continue the oral antihistamine (nonsedating ones eg Zyrtec or Loratidine or allegra) and add additional treatment to this.

The use of barrier protection on the skin may help. The use of oil-in-water emulsions and petrolatum containing creams may be helpful to prevent the water's reaction on the skin.

There are other oral medications that can be tried if this is not effective eg singulair, ketotifen, scopolamine.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Michelle Gibson James, General & Family Physician
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How Can aquagenic Urticaria In A Child  be Treated?

Hi, You can continue the oral antihistamine (nonsedating ones eg Zyrtec or Loratidine or allegra) and add additional treatment to this. The use of barrier protection on the skin may help. The use of oil-in-water emulsions and petrolatum containing creams may be helpful to prevent the water s reaction on the skin. There are other oral medications that can be tried if this is not effective eg singulair, ketotifen, scopolamine. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Michelle Gibson James, General & Family Physician