Why is the H2O molecule an antigen despite its tiny size and simplicity?

I just saw a news article about a woman with Aquagenic Urticaria which basically means she produces antibodies against H2O molecules which causes very bad symptoms if she touches or drinks water.

 

https://www.thefreelibrary.com/JUST+ONE+CUP+OF+WATER+COULD+KILL+LITTLE+HEIDI%3B+Girl's+deadly+allergy…-a061152595

 

We’re told you can’t be allergic to oxygen, glucose, salt etc because they’re too small and simple. So why is H2O an antigen?

NCBI source - Aquagenic Urticaria: A Report of Two Cases - PMC

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