title: Axillary osmidrosis in Apert syndrome: management with an arthroscopic shaver technique.
abstract: Apert syndrome is a congenital condition characterized by craniosynostosis, syndactyly, and maxillary hypoplasia. Previous authors have outlined the management of craniofacial and extremity anomalies associated with this syndrome; however, there is a paucity of literature regarding the treatment of the cutaneous manifestations of Apert syndrome. Axillary osmidrosis, a chronic skin condition characterized by an excessive, axillary malodor resulting from apocrine gland dysfunction, can be particularly severe in patients with Apert syndrome. Herein, we describe a pediatric patient with Apert syndrome and severe axillary osmidrosis managed by an arthroscopic shaver technique of axillary glandular debridement and aspiration.
authors.affiliation: Section of Plastic Surgery, Children's Hospital of Michigan and Wayne State University, Detroit, Michigan 48201, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Hess
authors.forename: Ian
authors.initials: I
authors.lastname: Lonergan
authors.forename: Arlene A
authors.initials: AA
authors.lastname: Rozzelle
authors.forename: Jugpal S
authors.initials: JS
authors.lastname: Arneja
mesh_terms: D000168:Acrocephalosyndactylia / Q000150:complications*; D000293:Adolescent; D020679:Arthroscopes; D001365:Axilla; D003646:Debridement / Q000295:instrumentation; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D013543:Sweat Gland Diseases / Q000150:complications / Q000601:surgery*; D013545:Sweat Glands / Q000503:physiopathology / Q000601:surgery*; D013546:Sweating; D016896:Treatment Outcome