Formation of skin rashes or weals (wheals) that are associated with redness (or pinkish discoloration) and itching, in some cases
The skin surrounding the affected area (weal) may be normal skin color or appear red (erythema)
The weals usually appear at the skin site of contact with water and may be of any shape and size; the condition can be localized or widespread
The common parts of the body affected include the face and neck, shoulders and torso, including the arms/hands
In some individuals, there may be a burning sensation accompanying itching
Individual weals are tiny to small and range in size from 1-3 mm; but, numerous weals covering a large area of the body skin may be observed
The weals may last anywhere from 10 minutes to 120 minutes; but most recede within 30-60 minutes, following removal of trigger (or water source)
In some cases, it can lead to hyperpigmentation (increased skin pigmentation) or hypopigmentation (decreased skin pigmentation)
When pressure is applied on the affected area of skin, it blanches (becomes pale or white in color)
Scratching can result in worsening of the symptoms and may lead to further skin complications such as ulceration and secondary infections
Pain, pain on touch, in some cases
Angioedema is generally not noted with Aquagenic Urticaria