Seven of 61 cases with EVD68 detected and eight long‐term follow‐ups had full recovery; two deaths were described in severely immunocompromised people (one with EVD68 and one with both EVD68 and coxsackie A16 detected).Six of 10 children in Denver were sent home for outpatient treatment. Some of the children with mild and moderate cases have recovered partially from temporary limb weakness but still have permanent weakness,  whereas those with more severe cases have not recovered as much. Intensive physical therapy and occupational therapy may be beneficial for recovery. Epidemiology
A seasonal pattern is seen in outbreaks, with a marked increase in cases reported in the late summer and early fall.The CDC has determined and submitted to GenBank complete or nearly complete genomic sequences for three known strains of the virus, which are "genetically related to strains of EV-D68 virus that were detected in previous years in the United States, Europe, and Asia. "While rates of paralytic symptoms appear to be correlated with the number of respiratory infections, in initial anecdotal reports, the cases are not clustered within a family or school, suggesting that the paralysis per se is not directly contagious, but arises as a very rare complication of the common respiratory infection.Cases of similar illnesses have been reported in Canada, Northern Europe, and Japan. Over 90% of reported cases are in children.
A study found that a dose of 2 grams twice per day led to a "dramatic and sustained improvement" of symptoms in a 13-year-old male patient, allowing him to comfortably shower, exercise, and swim.Other treatment is usually focused on topical itch management. This can be effected by the application of hot water at the end of a bath or shower, antipruritic lotions or creams such as lotion containing capsaicin, using phototherapy, or the application of hot or cold packs to the skin after water contact. Paradoxically, hot baths or showers help many patients, possibly because heat causes mast cells in the skin to release their supply of histamine and to remain depleted for up to 24 hours afterward.H1 and H2 blockers, such as loratadine, doxepin, or cimetidine, have historically been the first line of pharmacological treatment, but not all sufferers find relief with these medications. When antihistamines do work, loratadine seems to be the most effective for mild cases and doxepin most effective for more severe cases. Naltrexone, hydrocortisone, or propranolol may relieve itching for some people.Sertraline or other Selective serotonin reuptake inhibitors (SSRIs) is also a line of treatment. Gabapentin is very helpful. Etymology
The name is derived from Latin: aquagenic, meaning water-induced, and pruritus, meaning itch. See also
Aquadynia
Aquagenic urticaria
List of cutaneous conditions
List of allergies

References
Further reading


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