MedRead Journal of Family Medicine

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Eccrine hidrocystoma at unusual site

Kaoutar Laamari
Departement Of Dermatology, University Hospital Hassan II, University Hospital Hassan II, University Hospital Hassan, Morocco, Morocco

Published on: 2020-03-17

Abstract

etiology of multiple eccrine hidrocystomas is unknown [2]. It might be the result of sweat retention by portal closure leading to secondary
dilatation of sweat ducts. Treatment is difficult since it is mainly recommended for cosmetic reasons and the inaesthetic outcome is not acceptable

Keywords

Hidrocystomas are asymptomatic benign tumors of the sweat glands that arise from cystic dilatation of the excretory sweat duct. Whereas apocrine hidrocystomas are usually solitary, eccrine hidrocystomas are commonly multiple

Clinical Image

Hidrocystomas are asymptomatic benign tumors of the sweat glands that arise from cystic dilatation of the excretory sweat duct. Whereas apocrine hidrocystomas are usually solitary, eccrine hidrocystomas are commonly multiple [1].

The etiology of multiple eccrine hidrocystomas is unknown [2]. It might be the result of sweat retention by portal closure leading to secondary dilatation of sweat ducts.

Treatment is difficult since it is mainly recommended for cosmetic reasons and the inaesthetic outcome is not acceptable. A 56-year-old Caucasian woman came to our department because of multiple, asymptomatic, skin-colored, nontender papules, ranging from 2 to 5mm in diameter, in the intermammary region. 

The lesions had two years of evolution, aggravating with heat and humid environment.

The dermoscopy showed a homogeneous yellowish appearance.

Histologic examination revealed focally flattened cuboidal epithelium in the cysts, confirming the diagnosis of multiple eccrine hidrocystomas. Treatment is difficult since it is mainly recommended for cosmetic reasons and the inaesthetic outcome is not acceptable.

 


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Figure 1:  Multiple, Asymptomatic, skin-colored, non tender papules, ranging from 2 to 5mm in diamètre, in the intermammary region.

 


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Figure 2:  An homogeneous yellowish appearance.

 

References

  1. Lee MR, Ryman W: Multiple eccrine hidrocystomas. Australas J Dermatol. 2004; 45: 178-180.
  2. Alfadley A, Al Aboud K, Tulba A, Mourad, MM: Multiple eccrine hidrocystomas of the face. Int J Dermatol. 2001; 40: 125-129.