Eccrine Hidrocystoma Clinical Descriptive Study
Al- Anbar Medical Journal,
2009, Volume 7, Issue 1, Pages 34-38
AbstractBackground: Eccrine hidrocystoma is a benign cystic sweat gland tumor, occurs on the face, and is more common in women. It characterized by chronic course and seasonal variability mostly presents during hot humid weather.
Objective: To asses the different clinical presentation of eccrine hidrocystoma. Because it frequently faced by many dermatologists and ophthalmologists.
Patients& Method: A clinical descriptive study was conducted in the Department of Dermatology and Venerology, Ramadi General Hospital, Anbar, Iraq from May 2007 to March 2008. Forty two patients with eccrine hidrocystoma were enrolled in this study. Detailed history and clinical examination were performed for all patients. Fasting blood sugar test was done for all patients. Thyroid function test was done for some patients. Histopathological study was done for two patients.
Results: The age of patients ranged between 35 -70 (45.71±9.59 )years, 40 females and 2 males with female to male ratio 1:0.05. Disease duration ranged between 2-156 (37.61±32.77)months. All patients presented from May till mid October. With exacerbation at summer season in 32 patients (76%). Forty patients (95%) were housewives with positive family history in 5patients (`12%). Eight patients (19%) have solitary lesions, while 34 patients (81%) have multiple lesions. Association with diabetes mellitus seen in 10 patients (24%).
Eccrine hidrocystomas have bilateral symmetrical Centro facial distribution of cheeks with lower eye lids involvement. All patients showed a symptomatic small vesicular, skin colored lesions, with black discoloration at the tip of the vesicles, and when doing puncture by a sterile needle, a clear fluid content will be seen.
Conclusions: Eccrine hidrocystoma is common benign cystic tumor of sweat glands, characterized by multiple vesicles which involve both checks, associated with profuse sweating affecting adult housewives women with chronic course with exacerbation in summer months mostly at August. Diabetes mellitus may have a role in the pathogenesis of the disease.
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