Red facial pseudochromhidrosis

Abstract

We describe a 9-year-old girl with pseudochromhidrosis simulating apocrine chromhidrosis. Treatment with topical and systemic erythromycin resulted in complete clearance of the reddish discoloration of the face. No relapse or recurrence was observed over a 3-month period.

Isolated Areolar Apocrine Chromhidrosis

“…1 The disorder is chronic and may slowly regress as the secretion of apocrine glands decreases with age. 2 Excluding the case report of a 9-year-old girl diagnosed with red facial pseudochromhidrosis secondary to bacterial infection, 4 our patient represents the youngest reported case of areolar apocrine chromhidrosis, whether isolated or associated with facial and/or axillary involvement. Apocrine chromhidrosis isolated to the areolae has been reported in only 1 other adolescent female.…”

“…Higher states of oxidation result in a darker color. 1,2,4,7 Diagnosis of apocrine chromhidrosis can be confirmed by demonstrating an increased number of lipofuscin granules within chromhidrotic apocrine cells 4 or by induction of apocrine sweat through emotional, pharmacologic, or mechanical stimulation. 2 A feeling of warmth or a prickly sensation due to emotional or physical excitation may precede the onset of colored sweat.…”

“…4 The differential diagnosis includes: hyperbilirubinemia, Pseudomonas infection, bleeding diathesis (red sweat, hematohidrosis), alkaptonuria (ochronosis), and poisoning. 6,8,9 Wood's lamp examination of colored sweat may be positive.…”

A Case of Late-Onset Genital Apocrine Chromhidrosis

“…19 Bakır tuzları gibi bazı ağır metaller, kimyasallar, bromfenol mavisi gibi giysi boyaları ve oto-bronzlaştırıcı ürünlerin psödoekrin kromhidroza sebep olduğu da bildirilmiştir. 20 Apokrin kromhidrozun ayırıcı tanısında yer alan hastalık-lar Tablo 1'de görülmektedir.…”

Transient Blue Skin: Pseudochromhidrosis

“…Apocrine chromhidrosis is an idiopathic disorder characterized by the increased presence of oxidized lipofuscin granules in the apocrine sweat glands and the excretion of lipofuscin in sweat 1 . The colour of the sweat varies depending on the level of oxidation of lipofuscin, correlating with dark staining 2 . In eccrine chromhidrosis, ingested water--soluble pigments are excreted in sweat 3 .…”