''Aquagenic pruritus.''
http://www.ncbi.nlm.nih.gov/pubmed/2411768''Familial aquagenic urticaria associated with familial lactose intolerance.'
http://www.ncbi.nlm.nih.gov/pubmed/12271310''Aquagenic urticaria with extracutaneous manifestations.''
http://www.ncbi.nlm.nih.gov/pubmed/16119038Aquagenic urticaria: report of a case.
http://www.ncbi.nlm.nih.gov/pubmed/15317326Aquagenic urticaria is a very rare form of physical urticaria induced by contact with water. In this case report, we describe a child with a typical form of the disease in whom other types of physical urticaria were ruled out. Clinical manifestations, investigational methodology, and available treatments were reviewed. Treatment with hydroxyzine, 25 mg daily, was successful after a month follow-up in preventing wheals and erythema. However, mild pruritus is still present after contact with water.
Hydroxyzine is an anti-histamine.
This article mentions how the effects of water on the skin is less severe after taking anti-histamines.
This implies that in at least some of these cases, the hives are histamine-mediated.
By the way, mast cells do not exist in the blood, but the gut, respiratory tract (throat and lungs), skin, and bladder lining.
http://www.sciencedaily.com/releases/20 ... 123217.htm
An important component of the immune system is the mast cell, a distinct type of immune cell that initiates an early response to combat and clear invading pathogens. Mast cells are located in large numbers in the skin, gut, lung and bladder lining, which are common sites for pathogens to enter and attack the body.
Extracellular fluid (the free fluid that is not contained inside of cells) only constitutes about 20% of the body's water.
http://en.wikipedia.org/wiki/Body_waterAntibodies on the mast cells exist on its surface. So the antibodies would not react to the water inside of the cell.
Image
Interstitial Fluid makes up 16% of human body weight and blood plasma 4% of human body weight.
20% is a lot different to suddenly being exposed (be it internally or externally) to water in nearly 100% concentration.