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21 May 2021
Thank you for the question.
This is a difficult question to answer over the net. From your description it seems your son is suffering from what is known as aquagenic urticaria. This is a very rare form of allergic type reaction to water. One can make the diagnosis by applying a wet compress to the skin for 5 to 10 minutes to check if a reaction develops.
Considering the inability to avoid exposure to water and sweat this becomes a very difficult condition to treat. My advice would be to see the dermatologist again or your family doctor to discuss the use of daily anti-histamine tablets and cortisone for more severe symptom outbreaks.
I would also consider running a full skin allergy test patch to be sure that there are no other triggering factors.
I hope the above has helped.
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