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Berry W, D'Arcy C, Welsh B, Orchard D, Bekhor PS, Robertson SJ. Naevoid miliaria profunda, successfully treated with botulinum toxin. Australas J Dermatol 2024; 65:399-401. [PMID: 38530143 DOI: 10.1111/ajd.14256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Accepted: 03/14/2024] [Indexed: 03/27/2024]
Affiliation(s)
- William Berry
- Department of Dermatology, Royal Children's Hospital, Parkville, Victoria, Australia
| | - Colleen D'Arcy
- Department of Pathology, Royal Children's Hospital, Parkville, Victoria, Australia
| | - Belinda Welsh
- Department of Dermatology, Royal Children's Hospital, Parkville, Victoria, Australia
| | - David Orchard
- Department of Dermatology, Royal Children's Hospital, Parkville, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
| | - Philip S Bekhor
- Department of Dermatology, Royal Children's Hospital, Parkville, Victoria, Australia
- Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
| | - Susan J Robertson
- Department of Dermatology, Royal Children's Hospital, Parkville, Victoria, Australia
- Murdoch Children's Research Institute, Parkville, Victoria, Australia
- The Royal Melbourne Hospital, Parkville, Victoria, Australia
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2
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Skopec Z, Berrebi KG, Stone M, Liu V. Complex sweat gland hamartoma: A case report. J Cutan Pathol 2023; 50:243-246. [PMID: 36323653 DOI: 10.1111/cup.14350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 10/19/2022] [Accepted: 10/31/2022] [Indexed: 11/06/2022]
Abstract
Syringocystadenoma papilliferum (SCAP), tubular apocrine adenoma (TAA), and eccrine nevus are rare benign sweat gland tumors with varied clinical presentations but generally distinctive histomorphologic profiles. TAA and SCAP have been associated with other cutaneous hamartomas, most commonly with nevus sebaceus. Additionally, TAA and SCAP have uncommonly co-occurred in the same lesion. In contrast to nevus sebaceus, eccrine nevus is considerably less common and is rarely associated with other benign adnexal lesions. Here we present an unusual case of a complex sweat gland hamartoma containing features of syringocystadenoma papilliferum, tubular apocrine adenoma, and eccrine nevus in a 7-year-old female.
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Affiliation(s)
- Zachary Skopec
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Kristen G Berrebi
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Mary Stone
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.,Department of Pathology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Vincent Liu
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.,Department of Pathology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
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3
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Abdelkader HA, Fawzy MM, Nour N, Abdel-Halim MRE. Eczematous mucinous eccrine nevus: a novel presentation with Meyerson phenomenon. Int J Dermatol 2022; 61:1280-1283. [PMID: 35506457 DOI: 10.1111/ijd.16232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/18/2022] [Indexed: 11/28/2022]
Affiliation(s)
| | - Marwa Mohamed Fawzy
- Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Noura Nour
- Department of Dermatology, Faculty of Medicine, Cairo University, Cairo, Egypt
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4
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Lee H, Cho S. Eccrine Nevus on the Neck: A Case Report and Review of the Literature. Ann Dermatol 2021; 33:456-458. [PMID: 34616127 PMCID: PMC8460470 DOI: 10.5021/ad.2021.33.5.456] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 04/29/2020] [Accepted: 05/14/2020] [Indexed: 11/28/2022] Open
Abstract
Eccrine nevus is an extremely rare benign cutaneous hamartoma that usually occurs in childhood and adolescence. It has a wide range of clinical manifestations, and histological findings reveal a proliferation of structurally normal eccrine ducts. Herein, we present a case of eccrine nevus on the neck of an 8-year-old girl. Our literature review reveals that the head and neck region is a rare anatomical location for eccrine nevus as it has a predilection for extremities. Our review also suggests that overlying skin changes are common in eccrine nevus regardless of accompanying localized hyperhidrosis.
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Affiliation(s)
- Hanjae Lee
- Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea
| | - Soyun Cho
- Department of Dermatology, SMG-SNU Boramae Medical Center, Seoul, Korea
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5
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Naik PP. Utilities of Botulinum Toxins in Dermatology and Cosmetology. Clin Cosmet Investig Dermatol 2021; 14:1319-1330. [PMID: 34584436 PMCID: PMC8464334 DOI: 10.2147/ccid.s332247] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Accepted: 09/04/2021] [Indexed: 12/22/2022]
Abstract
Botulinum toxin (BoNT) is a neurotoxin produced by the Clostridium botulinum bacterium with a well-known efficacy and safety profile in the focal idiopathic hyperhidrosis treatment. BoNT comprises seven different neurotoxins; however, only toxins A and B are clinically employed. BoNT is lately practiced in off-label therapies for a variety of skin diseases. Scar prevention, hyperhidrosis, rhytides, eccrine nevus, alopecia, psoriasis, Darier disease, bullous skin disease, pompholyx and Raynaud's phenomenon are some of the novel indications for BoNT in cosmetic and notably non-cosmetic aspects of dermatology. To employ BoNT correctly in clinical practice, we must have a thorough understanding of the functional anatomy of the mimetic muscles. An intensive literature search was conducted to update all dermatology-oriented experiments and clinical trials on the described element of BoNT for this general overview of BoNT use in dermatology. This review aims to analyse the role of BoNT in dermatology and cosmetology.
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Affiliation(s)
- Piyu Parth Naik
- Department of Dermatology, Saudi German Hospital and Clinic, Dubai, United Arab Emirates
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6
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Martin-Gorgojo A, Sanchez-Carpintero I, Ruiz-Rodriguez R, Enguita-Valls AB. Eccrine Nevus in the Forearm of a 16-Year-Old Presenting as Unilateral Hyperhidrosis: A Clinicopathological Correlation Paradigm. Dermatopathology (Basel) 2021; 8:446-449. [PMID: 34563038 PMCID: PMC8482208 DOI: 10.3390/dermatopathology8030047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 09/15/2021] [Accepted: 09/16/2021] [Indexed: 11/16/2022] Open
Abstract
A case of a purely eccrine nevus in an adolescent patient presenting with focal hyperhidrosis on an area comprising the left forearm and the dorsal aspect of the left hand is described. No clinically evident lesions were identifiable. Dermatopathologic findings were subtle, showing only a slight increase in the number of eccrine glands. Clinicopathological correlation was paramount to achieve the diagnosis.
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Affiliation(s)
- Alejandro Martin-Gorgojo
- Dermatology Department, Clínica Dermatológica Internacional, 28001 Madrid, Spain; (I.S.-C.); (R.R.-R.)
- Correspondence: ; Tel.: +34-914449797
| | | | - Ricardo Ruiz-Rodriguez
- Dermatology Department, Clínica Dermatológica Internacional, 28001 Madrid, Spain; (I.S.-C.); (R.R.-R.)
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7
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Martina E, Diotallevi F, Radi G, Campanati A, Offidani A. Therapeutic Use of Botulinum Neurotoxins in Dermatology: Systematic Review. Toxins (Basel) 2021; 13:toxins13020120. [PMID: 33562846 PMCID: PMC7915854 DOI: 10.3390/toxins13020120] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 01/19/2021] [Accepted: 01/22/2021] [Indexed: 12/21/2022] Open
Abstract
Botulinum toxin is a superfamily of neurotoxins produced by the bacterium Clostridium Botulinum with well-established efficacy and safety profile in focal idiopathic hyperhidrosis. Recently, botulinum toxins have also been used in many other skin diseases, in off label regimen. The objective of this manuscript is to review and analyze the main therapeutic applications of botulinum toxins in skin diseases. A systematic review of the published data was conducted, following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Botulinum toxins present several label and off-label indications of interest for dermatologists. The best-reported evidence concerns focal idiopathic hyperhidrosis, Raynaud phenomenon, suppurative hidradenitis, Hailey–Hailey disease, epidermolysis bullosa simplex Weber–Cockayne type, Darier’s disease, pachyonychia congenita, aquagenic keratoderma, alopecia, psoriasis, notalgia paresthetica, facial erythema and flushing, and oily skin. Further clinical trials are still needed to better understand the real efficacy and safety of these applications and to standardize injection and doses protocols for off label applications.
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8
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Eccrine naevus: Case report with dermoscopic findings. Ann Dermatol Venereol 2021; 148:66-68. [PMID: 33451821 DOI: 10.1016/j.annder.2020.08.049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 06/04/2020] [Accepted: 08/31/2020] [Indexed: 11/20/2022]
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9
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Gibson CG, Zidron AM, Gibson RS, Essien F, Jenkinson SA. Coccygeal Polypoid Eccrine Nevus Presenting as a Skin Tag: Case Report and Review of the Literature. CLINICAL MEDICINE INSIGHTS-CASE REPORTS 2019; 12:1179547619853534. [PMID: 31210737 PMCID: PMC6552339 DOI: 10.1177/1179547619853534] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 05/04/2019] [Indexed: 11/16/2022]
Abstract
Coccygeal polypoid eccrine nevi (CPEN) are rare, benign, cutaneous polypoid lesions localized to the coccyx region that are characterized by areas of hyperplastic eccrine ducts without hyperhidrosis. We present the case of an asymptomatic 16-month-old female with a congenital lesion in the lower sacral area and review the literature and the differential diagnosis for CPEN.
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Affiliation(s)
- Christopher G Gibson
- Office of Graduate Medical Education, Fairfield Medical Center, Lancaster, OH, USA
| | - Amy M Zidron
- Department of Pediatrics, Heritage College of Osteopathic Medicine, Ohio University, Athens, OH, USA
| | - Ruby S Gibson
- Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA
| | | | - Scott A Jenkinson
- Department of Specialty Medicine, Heritage College of Osteopathic Medicine, Ohio University, Athens, OH, USA
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10
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Kristiansen BH, Lindahl KH, Pallesen KAU, Bygum A. Two patients with localised hyperhidrosis of the hand based on functional and structural abnormalities of sweat glands. BMJ Case Rep 2018; 2018:bcr-2017-222530. [PMID: 29386210 DOI: 10.1136/bcr-2017-222530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 14-year-old girl and a 30-year-old woman presented with localised hyperhidrosis on the dorsal hand and wrist, respectively, provoked by different stimuli such as physical activity and minor trauma to the skin. The skin was seemingly normal in both patients where an iodine-starch test revealed a well-demarcated area of hyperhidrosis. Following histopathological examination, the diagnosis was unilateral localised hyperhidrosis in both cases; one with normal histology and one with a nevus sudoriferous. Both patients were successfully treated with botulinum toxin type A. The 30-year-old woman additionally used low-dose propantheline bromide periodically and experienced long-term remission on this therapy. Hyperhidrosis may embarrass and interfere with patients' school and careers, and it is therefore important to tailor an effective individual treatment.
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Affiliation(s)
- Bjørn H Kristiansen
- Dermatology and Allergy Center, University Hospital of Odense, Odense, Denmark
| | - Kim H Lindahl
- Department of Clinical Pathology, University Hospital of Odense, Odense, Denmark
| | | | - Anette Bygum
- Dermatology and Allergy Center, University Hospital of Odense, Odense, Denmark
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11
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Campanati A, Martina E, Giuliodori K, Consales V, Bobyr I, Offidani A. Botulinum Toxin Off-Label Use in Dermatology: A Review. Skin Appendage Disord 2017; 3:39-56. [PMID: 28612001 DOI: 10.1159/000452341] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 10/05/2016] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Botulinum toxin is a neurotoxin produced by the bacterium Clostridium botulinum which causes a flaccid muscle paralysis. It is currently used for aesthetic treatments and in the focal hyperhidrosis. Recently, botulinum toxin has also been used experimentally in many other dermatological conditions with good results. OBJECTIVE To review and analyze the possible botulinum toxin off-label applications published. METHODS A retrospective review of the published data was conducted. CONCLUSIONS this potent drug can lead to several off-label indications of interest for dermatologists. Further clinical trials are still needed to better understand the real efficacy and safety of these applications and to standardize injection and dose protocols.
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Affiliation(s)
- Anna Campanati
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
| | - Emanuela Martina
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
| | - Katia Giuliodori
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
| | - Veronica Consales
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
| | - Ivan Bobyr
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
| | - Annamaria Offidani
- Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy
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12
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Frouin E, Riviere B, Maillet O, Willems M, Kalfa N, Costes V, Bessis D. Coccygeal polypoid eccrine nevus associated with imperforate anus and unilateral multicystic kidney dysplasia. J Cutan Pathol 2016; 43:697-701. [PMID: 27080330 DOI: 10.1111/cup.12718] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Revised: 02/18/2016] [Accepted: 04/10/2016] [Indexed: 11/27/2022]
Abstract
Eccrine nevi are rare hamartomas characterized by an increase in the number or size of eccrine glands. A polypoid form located in the coccygeal area has been described in a few cases and termed coccygeal polypoid eccrine nevus (CPEN). No association with internal malformations was reported in any of these cases. We describe herein a case of CPEN associated with imperforate anus and unilateral multicystic kidney dysplasia. We review the clinical and pathological characteristics of CPENs and discuss the differential diagnoses.
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Affiliation(s)
- Eric Frouin
- Department of Pathology, CHU Poitiers, Poitiers, France
| | - Benjamin Riviere
- Department of Pathology, CHU and University of Montpellier, Montpellier, France
| | - Olivier Maillet
- Department of Pediatric Surgery, CHU Montpellier and University of Montpellier, Montpellier, France
| | - Marjolaine Willems
- Department of Medical Genetics, CHU Montpellier and University of Montpellier, Montpellier, France
| | - Nicolas Kalfa
- Department of Pediatric Surgery, CHU Montpellier and University of Montpellier, Montpellier, France
| | - Valerie Costes
- Department of Pathology, CHU and University of Montpellier, Montpellier, France
| | - Didier Bessis
- Department of Dermatology, CHU de Montpellier and University of Montpellier, Montpellier, France
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13
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Lera M, España A, Idoate MÁ. Focal hyperhidrosis secondary to eccrine naevus successfully treated with botulinum toxin type A. Clin Exp Dermatol 2015; 40:640-3. [DOI: 10.1111/ced.12608] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2014] [Indexed: 10/23/2022]
Affiliation(s)
- M. Lera
- Department of Dermatology; University Clinic of Navarra; School of Medicine; University of Navarra; Pamplona Spain
| | - A. España
- Department of Dermatology; University Clinic of Navarra; School of Medicine; University of Navarra; Pamplona Spain
| | - M. Á. Idoate
- Department of Pathology; University Clinic of Navarra; School of Medicine; University of Navarra; Pamplona Spain
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14
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Congenital cutaneous solitary mixed hamartoma: An unusual case containing eccrine, neural, and lipomatous components. JAAD Case Rep 2015; 1:88-90. [PMID: 27051693 PMCID: PMC4802557 DOI: 10.1016/j.jdcr.2015.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Dua J, Grabczynska S. Eccrine nevus affecting the forearm of an 11-year-old girl successfully controlled with topical glycopyrrolate. Pediatr Dermatol 2014; 31:611-2. [PMID: 23534977 DOI: 10.1111/pde.12127] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Eccrine nevi are rare lesions characterized by a sharply demarcated area of localized hyperhidrosis. We present an 11-year-old girl with an eccrine nevus on her right lower forearm. To the best of our knowledge, this is the first case successfully controlled with topical glycopyrrolate wipes.
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Affiliation(s)
- Janet Dua
- Amersham Hospital, Buckinghamshire, UK
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17
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Abstract
Eccrine nevus shows increase in number or size of eccrine glands, whereas hair follicle nevus is composed of densely packed normal vellus hairs, and eccrine-pilar angiomatous nevus reveals increase of eccrine, pilar, and angiomatous structures. No case with increased number of both eccrine glands and hair follicles only in the dermis has been previously reported. A 10-month-old girl presented with cutaneous hamartoma with overlying skin hyperpigmentation on her left hypochondrium since 3 months of age, in whom the lesion was completely excised. Histopathology demonstrated evidently increased number of both eccrine glands and hair follicles in the dermis with reactive hyperplasia of collagen fibers. No recurrence occurred after the tumor was completely excised. A term "hybrid eccrine gland and hair follicle hamartoma" is proposed for this unique lesion.
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Abstract
Hamartomatous, circumscribed swellings of the extremities make an interesting study. Presentations are manifold and the naevi are not always present from birth. Excessive growth of hairs leads to remarkable appearance of such swellings. A young woman presented to the dermatology department, complaining of tenderness over 4th finger of her left hand. The defect was present for the last couple of years and was typified by visible hyperhidrosis on gentle tapping. Counseling of the affected lady made her agree for a skin biopsy. The histopathology revealed it to be of the nature of eccrine angiomatous hamartoma. Blood vessels were scarce. Eccrine ducts were plentiful without other associated anomalies. The deformity was removed by simple excision with good result.
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Affiliation(s)
- Sumit Sen
- Department of Dermatology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, India.
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Clinical differentiation of primary from secondary hyperhidrosis. J Am Acad Dermatol 2011; 64:690-5. [PMID: 21334095 DOI: 10.1016/j.jaad.2010.03.013] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2010] [Revised: 02/28/2010] [Accepted: 03/03/2010] [Indexed: 11/23/2022]
Abstract
BACKGROUND Hyperhidrosis (HH) is excessive sweating that may be primary (idiopathic) or secondary to medication or disease. Clinical features supporting primary or secondary etiology have not been well documented. OBJECTIVE To identify clinical and demographic features predictive of a diagnosis of primary versus secondary HH. METHODS A retrospective chart review was conducted over a 13-year period (1993-2005) of all patients (children and adults) seen at a university-based outpatient dermatology department with an International Classification of Diseases, 9th revision diagnosis code for HH (N = 415). RESULTS Three hundred eighty-seven patients (93.3%) had primary HH (PHH); 28 patients (6.7%) had secondary HH (SHH). SHH patients were older (39.0 ± 18.6 years vs 27.3 ± 12.3 years) with more frequent onset at age older than 25 years (55% for SHH vs12.1% for PHH; odds ratio [OR] 8.7; 95% confidence interval [CI] 3.5-21.4; P < .00001 for each). SHH was more often unilateral/asymmetric (OR: 51; 95% CI: 12.6-208), generalized (vs focal; OR: 18; 95% CI: 7.3-47.6), and present nocturnally (OR: 23.2; 95% CI: 4.3-126; P < .00001 for each). Of SHH cases, endocrine disease accounted for 57% (including diabetes mellitus [11], hyperthyroidism [4], and hyperpituitarism [1]). Neurologic disease accounted for 32% (including peripheral nerve injury [3], Parkinson's disease [2], reflex sympathetic dystrophy [2], spinal injury [1] and Arnold-Chiari malformation [1]). Malignancy (pheochromocytoma), respiratory disease, and psychiatric disease were each represented once. Compared to other secondary causes, asymmetric HH favored neurologic disease (OR: 63; 95% CI: 4.9-810); P = .0002). LIMITATIONS Results were obtained from a single, university-based population. CONCLUSIONS On the basis of these data, the diagnostic criteria for PHH were assessed statistically. Criteria include: excessive sweating of 6 months or more in duration, with 4 or more of the following: primarily involving eccrine-dense (axillae/palms/soles/craniofacial) sites; bilateral and symmetric; absent nocturnally; episodes at least weekly; onset at 25 years of age or younger; positive family history; and impairing daily activities. These criteria discriminate well between PHH and SHH (sensitivity: 0.99; specificity: 0.82; positive predictive value: 0.99; negative predictive value: 0.852) and may facilitate optimal clinical management.
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20
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Park MY, Lee ES. Two cases of coccygeal polypoid eccrine nevi presenting as skin tags. Ann Dermatol 2010; 21:440-2. [PMID: 20523844 DOI: 10.5021/ad.2009.21.4.440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2009] [Revised: 05/19/2009] [Accepted: 06/05/2009] [Indexed: 11/08/2022] Open
Abstract
An eccrine nevus is a rare hamartoma characterized by an increase in the number or size of eccrine glands. Eccrine nevi usually present as localized hyperhidrosis and are not associated with overlying skin abnormalities. However, among the cases that have been reported in the literature, some unique presentations of eccrine nevi have been demonstrated, including a pigmented patch, a depressed nodule, linear papules, and a sacral skin tag. Herein, we report two unusual cases of coccygeal polypoid eccrine nevi and review the literature.
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Affiliation(s)
- Min Young Park
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
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21
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SERDAR ZA, ALTUNAY IK, YASAR S, KAYAOGLU S, GÜNES P. Localized crossed hyperhidrosis and the coexistence of thyroid gland disease. J Dermatol 2010; 37:554-8. [DOI: 10.1111/j.1346-8138.2009.00742.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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22
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Unique case: syringocystadenoma papilliferum associated with an eccrine nevus. Am J Dermatopathol 2010; 31:806-7. [PMID: 19730225 DOI: 10.1097/dad.0b013e31819abe12] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Syringocystadenoma papilliferum is a benign adnexal lesion of the skin most commonly found in the head and neck region. It is frequently seen in association with other benign adnexal lesions. We report a case of syringocystadenoma papilliferum seen in conjunction with an eccrine nevus. To our knowledge, this association has not been previously documented in the literature.
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Shaffer HC, Schosser R, Phillips C. Acantholytic dyskeratotic epidermal nevus with eccrine differentiation: a case report and review of literature. J Cutan Pathol 2009; 36:1001-4. [PMID: 19674204 DOI: 10.1111/j.1600-0560.2009.01181.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Terminology regarding classification of benign lesions with prominent eccrine differentiation can be confusing as these lesions can have overlapping clinical and histologic characteristics. In this report, we examine a case and review of the literature to suggest that these entities may be better classified as a spectrum of benign lesions with overlapping features rather than distinct entities. We describe a case of an acantholytic dyskeratotic epidermal nevus with eccrine differentiation on the back of a 2-year-old patient. We then discuss the classic clinical and histologic presentations of eccrine nevi and epidermal nevi with eccrine differentiation as they relate to each other and to our case.
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Affiliation(s)
- Holly C Shaffer
- Department of Dermatology, East Carolina University, Greenville, NC 27834, USA.
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A unique presentation of eccrine hamartoma: eccrine nevus with abnormal eccrine structures and angiomyxoid stroma. Am J Dermatopathol 2009; 31:682-4. [PMID: 19668077 DOI: 10.1097/dad.0b013e3181a315ab] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Eccrine hamartomas are very rare lesions usually presenting in early childhood, with variable clinical presentations. Local hyperhidrosis is often noticed. These lesions are all characterized by an increase in number and/or size of normal eccrine glands. We report the case of a hamartomatous lesion composed of eccrine structures and prominent angiomyxoid stroma, diagnosed in a 9-year-old girl. In this lesion, eccrine structures were not normal eccrine coils or ducts but ramified strands of small eosinophilic cells, containing a few eccrine ducts. These epithelial structures expressed carcinoembryonic antigen, cytokeratin 14, and cytokeratin 77, in a pattern suggesting ductal eccrine differentiation. The mesenchymatous component contained numerous capillary vessels in an abundant myxoid stroma. It was organized concentrically around the epithelial structures. This angiomyxoid stroma was somewhat reminiscent of mucinous eccrine nevi and eccrine angiomatous hamartomas. We propose to describe this unique lesion inside the group of eccrine nevi with the term "angiomyxoid eccrine nevus."
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25
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Shaffer HC, Schosser R, Phillips C. Acantholytic dyskeratotic epidermal nevus with eccrine differentiation: a case report and review of literature. J Cutan Pathol 2009. [DOI: 10.1111/j.1600-0560.2008.01181.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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26
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Abstract
A 14-month-old Caucasian male presented with a hypopigmented patch associated with increased perspiration on the right side of his back, flank, and abdomen. Starch iodide test and biopsy revealed an eccrine nevus. The truncal presentation and light color both were unique presentations of this rare hamartoma.
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Affiliation(s)
- Hania Salama
- Wayne State University School of Medicine, Detroit, Michigan, USA
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27
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Honeyman JF, Valdés R, Rojas H, Gaete M. Efficacy of botulinum toxin for a congenital eccrine naevus. J Eur Acad Dermatol Venereol 2008; 22:1275-6. [DOI: 10.1111/j.1468-3083.2008.02630.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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28
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Lee KY, Goo B, Park CO, Chung KY. Eccrine naevus with clear cell syringoma. J Eur Acad Dermatol Venereol 2008; 22:1151-3. [PMID: 18631279 DOI: 10.1111/j.1468-3083.2008.02610.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- K-Y Lee
- Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, South Korea
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29
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Yoshizawa J, Hozumi Y, Katagiri Y, Kawaguchi M, Shimanuki M, Suzuki T. Mucinous eccrine naevus. J Eur Acad Dermatol Venereol 2008; 23:348-9. [PMID: 18554220 DOI: 10.1111/j.1468-3083.2008.02854.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Kang MJ, Yu DS, Kim JW. A Case of Eccrine Nevus. Ann Dermatol 2008; 20:29-31. [PMID: 27303155 DOI: 10.5021/ad.2008.20.1.29] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2006] [Accepted: 01/12/2008] [Indexed: 11/08/2022] Open
Abstract
Eccrine nevi are very rare cutaneous lesions which may or may not be accompanied by localized hyperhidrosis. Histological findings usually reveal a slightly increased number of eccrine glands without any other abnormalities. Herein we present a case of eccrine nevus not associated with localized hyperhidrosis on the left wrist of a 6-year-old girl. The lesion was a brownish, ovoid plaque approximately 1.0 × 1.5 cm in size, with a hyperkeratotic, slightly scaly papule in the center. It was treated by surgical excision.
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Affiliation(s)
- Min Ju Kang
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Dong Soo Yu
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jin Wou Kim
- Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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32
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Abstract
Eccrine angiomatous hamartoma is a nevoid proliferation of eccrine glands and small vessels. It usually presents as a solitary, slow growing nodule, manifesting at birth or in childhood, which can be accompanied by hyperhidrosis and pain on palpation. We report an occurrence in an otherwise healthy 3-month-old girl who had multiple, asymptomatic, nodular lesions with a linear arrangement localized to the inguinal fold. We also review the literature on adnexal hamartomas of infancy.
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Affiliation(s)
- J B Foshee
- University of Oklahoma Health Science Center, Oklahoma City, Oklahoma 73104, USA
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33
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Baskan EB, Karli N, Baykara M, Cikman S, Tunali S. Localized unilateral hyperhidrosis and neurofibromatosis type 1: case report of a new association. Dermatology 2006; 211:286-9. [PMID: 16205077 DOI: 10.1159/000087026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2004] [Accepted: 01/04/2005] [Indexed: 11/19/2022] Open
Abstract
Localized unilateral hyperhidrosis (LUH) is an uncommon but well-defined special form of localized hyperhidrosis with diverse causes. It often occurs within a sharply demarcated area on the face or upper extremities. Here, we report a case of LUH in a 16-year-old male with neurofibromatosis type 1 (NF1) and review related data in the literature. The association of this rare entity and NF1 has not yet been described. Subcutaneous botulinum toxin A injection provided a good clinical response with symptomatic relief.
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Affiliation(s)
- Emel Bulbul Baskan
- Department of Dermatology, Uludag University Medical Faculty, Bursa, Turkey
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34
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Sonntag M, Rauch L, Ruzicka T, Bruch-Gerharz D. Botulinumtoxinbehandlung eines ekkrinen Schwei�dr�senn�vus. Hautarzt 2005; 56:364-6. [PMID: 15750675 DOI: 10.1007/s00105-005-0919-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- M Sonntag
- Hautklinik der Heinrich-Heine-Universität, Düsseldorf
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