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Smith SD, DiCaudo DJ, Price HN, Andrews ID. Congenital eccrine angiomatous hamartoma: Expanding the morphologic presentation and a review of the literature. Pediatr Dermatol 2019; 36:909-912. [PMID: 31410905 DOI: 10.1111/pde.13974] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Eccrine angiomatous hamartoma (EAH) is a rare benign vascular hamartoma characterized histologically by an increased size and number of mature eccrine glands associated with multiple foci of dilated capillaries in the dermis and subcutis. EAH typically presents in children as discrete, solitary nodules, or plaques most commonly located on the extremities. Some cases of EAH have an agminated distribution involving classic locations, or present as solitary lesions in less common locations such as the face, scalp, or trunk. We report the case of congenital EAH in a child with atypical morphological features and pattern of distribution further expanding on the range of presentations classically described.
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Affiliation(s)
- Sean D Smith
- Department of Dermatology, Creighton University School of Medicine, Phoenix, Arizona
| | - David J DiCaudo
- Department of Dermatology and Department of Laboratory Medicine/Pathology, Mayo Clinic, Scottsdale, Arizona
| | - Harper N Price
- Division of Dermatology, Department of Pediatric Dermatology, Phoenix Children's Hospital, Phoenix, Arizona.,Department of Pediatrics, Mayo College of Medicine and Science, Phoenix, Arizona.,Department of Child Health, University of Arizona - College of Medicine, Tucson, Arizona
| | - Israel D Andrews
- Division of Dermatology, Department of Pediatric Dermatology, Phoenix Children's Hospital, Phoenix, Arizona.,Department of Pediatrics, Mayo College of Medicine and Science, Phoenix, Arizona.,Department of Child Health, University of Arizona - College of Medicine, Tucson, Arizona
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Shin J, Jang YH, Kim SC, Kim YC. Eccrine angiomatous hamartoma: a review of ten cases. Ann Dermatol 2013; 25:208-12. [PMID: 23717013 PMCID: PMC3662915 DOI: 10.5021/ad.2013.25.2.208] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2011] [Revised: 04/16/2012] [Accepted: 05/12/2012] [Indexed: 11/22/2022] Open
Abstract
Background Eccrine angiomatous hamartoma (EAH) is a rare benign nodular lesion characterized by the proliferation of eccrine and vascular structures, generally capillaries, in the middle and deep dermis. It may be congenital or appear later in childhood, but rarely arises in adulthood. Objective To investigate the clinicopathologic features of EAH in Korean patients. Methods Ten cases of EAH diagnosed at Ajou University Hospital and Gangnam Severance Hospital in Korea from 2007 to 2010 were retrospectively reviewed. Results The age range of patients was between 5 and 66 years with an equal number of male and female patients. Apart from two congenital cases, the onset was late, ranging from 6 months to 65 years of age. All lesions were solitary and located on the distal extremities. Nine cases appeared as a yellow-brown nodule or plaque resembling a callus. Neither hyperhidrosis nor hypertrichosis was documented. Apart from the typical histological findings of EAH, prominent mucin deposition, fat component and nerve infiltration were observed. Conclusion This is one of the largest single case series of EAH in the literature. Clinically, resemblance to callosities and the frequent occurrence in the adulthood were the unique features in our series.
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Affiliation(s)
- Jaeyoung Shin
- Department of Dermatology, Ajou University School of Medicine, Suwon, Korea
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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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Lee Y, Jung YJ, Lee WS. Late-onset eccrine angiomatous hamartoma associated with a ganglion cyst on the sole of the foot. Ann Dermatol 2011; 23:S218-21. [PMID: 22148055 PMCID: PMC3229070 DOI: 10.5021/ad.2011.23.s2.s218] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2011] [Revised: 04/28/2011] [Accepted: 05/23/2011] [Indexed: 11/08/2022] Open
Abstract
Eccrine angiomatous hamartoma (EAH) is a benign, uncommon, combined vascular and eccrine malformation. Most cases of this disorder have been single or multiple nodules or plaques that appear red, yellow, blue, violaceous, or skin colored. EAH may be congenital or appear later in childhood; it rarely arises during puberty or adulthood. A 52-year-old female patient visited our department for tender subcutaneous cystic tumor on the right sole with a one month history. Histopathologic examination confirmed EAH. During excisional biopsy procedure, mucinous discharges were observed which were histopathologically diagnosed as ganglion.
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Affiliation(s)
- Yoonhee Lee
- Department of Dermatology and Institute of Hair and Cosmetic Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
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Larralde M, Bazzolo E, Boggio P, Abad ME, Santos Muñoz A. Eccrine angiomatous hamartoma: report of five congenital cases. Pediatr Dermatol 2009; 26:316-9. [PMID: 19706095 DOI: 10.1111/j.1525-1470.2008.00777.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Eccrine angiomatous hamartoma is a rare entity characterized histologically by the combination of proliferative eccrine and vascular elements. It generally arises before puberty, as solitary or multiple lesions, with a heterogeneous clinical appearance, affecting predominantly the distal extremities, with or without associated pain or hyperhidrosis. It may require surgical treatment due to cosmetic concern, progressive enlargement or the presence of pain or excessive hyperhidrosis. We report five congenital cases of eccrine angiomatous hamartoma, emphasizing a clinically uncommon tumor-like appearance, with numerous telangiectasias on their surfaces resembling vascular lesions, in two of them.
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Abstract
A 71-year-old Korean man presented with a solitary erythematous plaque on his forehead (Fig. 1). It was first noticed by the patient 1 year previously and had slowly increased in size over that time. Physical examination revealed a slightly elevated, 1.5 cm x 1.5 cm erythematous plaque on the upper midline of the forehead. Sweating was not evoked by physical work or emotional stress. There was no pain or tenderness associated with the lesion. The patient had no history of trauma to the forehead. Histopathologic examination of the lesion showed increased numbers of eccrine glands, as well as dilated vascular channels in the deep dermis and subcutaneous tissue (Fig. 2). An immunohistochemical study showed that these eccrine glands stained positively for S-100 and carcinoembryonic antigen (CEA), and the vascular channels for the antifactor VIII-related antigens. These findings are consistent with eccrine angiomatous hamartoma. There was no change in the lesion during the 1-year follow-up period.
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Affiliation(s)
- Eugene Jeong
- Department of Dermatology, College of Medicine, Catholic University of Korea, St Mary's Hospital, Seoul, South Korea
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Lise MLZ, Quattrino AL, Bragança RF, Pontual CD, Diniz C, Rochael M. Hamartoma angiomatoso écrino: um tumor doloroso. An Bras Dermatol 2003. [DOI: 10.1590/s0365-05962003000400008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
O hamartoma angiomatoso écrino (HAE) é lesão benigna, em geral, congênita. Apresenta-se na maioria dos casos como nódulo ou placa cor da pele ou eritematosa associada ou não à hiperidrose focal e dor. Localiza-se preferencialmente nos membros inferiores, próximo aos joelhos ou nos artelhos, mas lesões na face, região cervical, sacra e tronco foram descritas. O principal diagnóstico diferencial deve ser feito com o tumor glômico. Em geral, o HAE tem evolução benigna, havendo relatos de remissão espontânea da dor, sem necessidade de remoção. Contudo, foram descritos casos em que a dor levou à exérese da lesão e mesmo à amputação do membro afetado. Os autores relatam um caso de hamartoma angiomatoso écrino de aparecimento tardio, com sintomatologia exuberante e de difícil tratamento.
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Abstract
Four patients with eccrine angiomatous hamartoma are described. Blue-purple color, enlarging size, location on an extremity, pain, and hypertrichosis were common features and aided differentiation from other vascular anomalies and hamartomas of childhood. None of our patients experienced lesional hyperhidrosis, and simple excision alleviated pain.
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Affiliation(s)
- Michelle T Pelle
- Department of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 17822, USA
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Castilla EA, Schwimer CJ, Bergfeld WF, Skacel M, Ormsby A. Eccrine angiomatous hamartoma in a neurofibromatosis type-1 patient. Pathology 2002; 34:378-80. [PMID: 12190300 DOI: 10.1016/s0031-3025(16)34459-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Morrell DS, Ghali FE, Stahr BJ, McCauliffe DP. Eccrine angiomatous hamartoma: a report of symmetric and painful lesions of the wrists. Pediatr Dermatol 2001; 18:117-9. [PMID: 11358550 DOI: 10.1046/j.1525-1470.2001.018002117.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Eccrine angiomatous hamartoma (EAH) is a rare, benign cutaneous lesion histologically defined as a proliferation of eccrine glands within a closely associated vascular stroma. Typically EAH presents as a solitary flesh-colored, hyperhidrotic, painful papule or plaque appearing at birth or during childhood. Only two previously reported cases have been described involving multiple, symmetrically located lesions. The occurrence of knuckle pads in patients with EAH has not been reported. We present an instance of multiple painful EAH lesions occurring symmetrically on the extensor wrists in a 14-year-old girl with knuckle pads.
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Affiliation(s)
- D S Morrell
- Department of Dermatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7287, USA
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Nakatsui TC, Schloss E, Krol A, Lin AN. Eccrine angiomatous hamartoma: report of a case and literature review. J Am Acad Dermatol 1999; 41:109-11. [PMID: 10411421 DOI: 10.1016/s0190-9622(99)70416-0] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Eccrine angiomatous hamartoma is a rare condition characterized histologically by increased numbers of eccrine structures and numerous capillary channels. Patients characteristically have a solitary, congenital nodule that may be painful and that may show hyperhidrosis. It is important to recognize this condition because it is a benign lesion for which aggressive treatment is not indicated. We report the case of a congenital eccrine angiomatous hamartoma that had a firm nodule studded with blue papules.
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Affiliation(s)
- T C Nakatsui
- Division of Dermatology and Cutaneous Sciences, University of Alberta, Edmonton
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Cebreiro C, Sánchez-Aguilar D, Gómez Centeno P, Fernández-Redondo V, Toribio J. Eccrine angiomatous hamartoma: report of seven cases. Clin Exp Dermatol 1998; 23:267-70. [PMID: 10233623 DOI: 10.1046/j.1365-2230.1998.00391.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Eccrine angiomatous hamartoma is a rare cutaneous lesion. Histologically it is characterized by the proliferation of eccrine glands, vascular structures and occasionally other elements in the middle and deep dermis; we now report seven further cases of this condition, two with lipomatous involvement and also discuss its nosology.
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Affiliation(s)
- C Cebreiro
- Department of Dermatology, General Hospital of Galicia, Faculty of Medicine, Santiago de Compostela, Spain
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Affiliation(s)
- O C Kwon
- Department of Dermatology, Catholic University Medical College, Taejon St Mary's Hospital, South Korea
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Abstract
Eccrine angiomatous hamartoma is a rare, benign entity. The histologic features include proliferation of eccrine sweat glands and angiomatous capillary channels. We report three children who each had a single lesion on a limb. These lesions were clinically angiomatous, and we obtained the diagnosis by histologic and immunohistochemical studies.
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Affiliation(s)
- C Smith
- Servicio de Dermatología, Hospital Clinico Universitario, Valencia, Spain
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