Aquagenic palmar wrinkling as a presenting feature of cystic fibrosis gene dysfunction.

Clin Exp Dermatol. 2009 Jun 22. [Epub ahead of print]

Aquagenic palmar wrinkling as a presenting feature of cystic fibrosis gene dysfunction.

Stewart LC, Doe SJ, Bourke SJ, Leech S.

Department of Dermatology, Royal Victoria Infirmary, Newcastle upon Tyne, Newcastle, UK.

Aquagenic palmar wrinkling (APW) is characterized by the rapid and transient oedematous wrinkling of the palms after brief immersion in water. APW has been associated with cystic fibrosis (CF). Since the discovery of the CF gene, the clinical spectrum of CF has broadened from classic severe CF to include milder 'atypical CF' and 'CF-related disorders'. We report an unusual case in which APW occurred in a patient with no lung disease, and in whom investigations showed evidence of CF gene dysfunction. APW may be a presenting feature of a CF-related disorder and should prompt investigation of CF gene dysfunction.

PMID: 19548945 [PubMed - as supplied by publisher]