Facial and axillary apocrine chromhidrosis

Autor: Yosmar Carolina Pérez González, Silvia Marinero Escobedo, Berta Pérez Tato, Begoña Sánchez Albisua, Paloma Fernández López, Elena Zamora Martínez, Isabel Polimón Olabarrieta
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Tato, Berta Pérez; Martínez, Elena Zamora; Albisua, Begoña Sánchez; González, Yosmar C Pérez; Olabarrieta, Isabel Polimón; Escobedo, Silvia Marinero; et al.(2012). Facial and axillary apocrine chromhidrosis. Dermatology Online Journal, 18(3). Retrieved from: http://www.escholarship.org/uc/item/4md22376
Popis: Apocrine chromhidrosis is a rare, chronic, idiopathic disorder, characterized by the excretion of pigmented sweat. A 26-year-old woman presented with a 3-year history of dark blue secretions on bilateral malar cheeks. On examination, upon pressure on the cheeks, a dark blue fluid was expressed, which appeared to arise primarily from the follicle. The patient had not appreciated it, but on examination of her axillae, a very subtle blue coloring was observed. Histopathologic examination revealed apocrine glands in the deep reticular dermis. Bluish cytoplasmic granules were observed in the apocrine epithelium lining, which correspond to lipofuscin granules. The diagnosis of apocrine cromhidrosis was made. We began treatment with 20 percent aluminum chloride hexahydrate solution and capsaicin cream with poor tolerance. Finally, we treated with botulinum toxin type A with a successful response. We report a case of facial and axillary apocrine cromhidrosis with good response to botulinum toxin type A.
Databáze: OpenAIRE