Aquagenic syringeal acrokeratoderma: Report of two teenage cases

Transient reactive papulotranslucent acrokeratoderma is an unusual conditio n of the palms that has been characterized by symmetric, hypopigmented, Rat -topped papules and plaques with eccrine duct prominence that becomes more pronounced on exposure to water. Histopathologically, hyperkeratosis and di lated eccrine ostia are seen. Two teenagers with papulotranslucent acrokera toderma are described. We propose the term aquagenic syringeal acrokeratode rma, which accurately describes the appearance after exposure to water and the prominent eccrine ducts seen clinically and histologically in the setti ng of acrokeratoderma.