Fox-Fordyce disease: diagnosis with transverse histologic sections.
Fox-Fordyce disease (FFD) is an uncommon chronic follicular based dermatosis with distinctive clinical characteristics consisting of pruritic papules confined to apocrine gland-bearing skin. Histologic confirmation of this entity is often time-consuming and difficult with conventional histologic sectioning. We describe a case of FFD occurring in a 26-year-old woman, in which we used transverse histologic sectioning to easily demonstrate the histopathologic features of this condition. With conventional sectioning of a punch biopsy specimen of an affected area, more than 23 serial sections were required to locate a follicle with pathognomonic features of the disease. In contrast, only one transverse section of a biopsy specimen was required to confirm the diagnosis. We propose that transverse histologic sectioning of biopsy specimens of patients suspected of having FFD more effectively demonstrates the diagnostic features.
Stashower
M E
ME
Department of Dermatology, National Naval Medical Center, Bethesda.
Krivda
S J
SJ
Turiansky
G W
GW
D000328:Adult; D001365:Axilla; D005260:Female; D005588:Fox-Fordyce Disease / Q000175:diagnosis / Q000473:pathology*; D006652:Histological Techniques; D006801:Humans; D012867:Skin / Q000473:pathology