Multiple eccrine hidrocystomas.
The clinical and pathological features and treatment of two patients with multiple eccrine hidrocystomas are presented. The first case is characterized by multiple pearly papules with a bluish hue located in the periorbital region and the bridge of the nose. The second case is characterized by multiple, skin-coloured papules located in the periorbital area, forehead, chin and nose. Both were exacerbated by a hot and humid environment. Histopathologically, both demonstrated a unilocular cyst located in the dermis, with a 2-3-layer wall composed of cuboidal epithelium that was non-keratinizing. Treatment with topical atropine sulphate 1% in aqueous solution three times a day was instituted in the first case; however, this was poorly tolerated because of blurred vision and nausea. The lesions were subsequently hyfrecated with a good response. The second case was treated with topical atropine sulphate 1% in aqueous solution three times a day with a good response.
Lee
Michael R
MR
Department of Dermatology, Royal North Shore Hospital, Pacific Highway, St Leonard's, New South Wales, Australia. mick155@hotmail.com
Ryman
William
W
D000287:Administration, Topical; D000368:Aged; D001285:Atropine / Q000008:administration & dosage* / Q000009:adverse effects; D004564:Electrocoagulation; D005260:Female; D018251:Hidrocystoma / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced; D009378:Neoplasms, Multiple Primary; D012996:Solutions; D013544:Sweat Gland Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome; D014786:Vision Disorders / Q000139:chemically induced
D012996:Solutions; D001285:Atropine