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[Eccrine neutrophilic hidradenitis: idiopathic plantar form in children]
T Erro-Vincent1, A L Souillet, A Fouilhoux
1Département de pédiatrie et clinique dermatologique, hôpital Edouard-Herriot 69437 Lyon, France.
Insights
Idiopathic plantar hidradenitis, a rare foot condition, typically resolves on its own in children. Early diagnosis and conservative treatments like rest and pain relief are key for managing this condition.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Idiopathic plantar hidradenitis is an uncommon dermatological condition affecting the feet.
- It presents as a painful rash with functional impairment.
Observation:
- Two pediatric cases (ages 12 and 14) presented with painful papulo-nodular plantar rash.
- Diagnosis was clinical, confirmed by biopsy in one case.
- Symptoms resolved spontaneously within days with conservative management.
Findings:
- The condition has a spontaneous favorable outcome.
- Non-steroidal anti-inflammatory drugs and paracetamol were used for symptom management.
- No recurrence was observed after resolution.
Implications:
- Prompt recognition of symptoms aids in rapid diagnosis and avoids unnecessary interventions.
- Analgesic treatment and rest are the primary therapeutic approaches.
- Biopsy is reserved for atypical or prolonged cases to examine eccrine gland inflammation.
Unlabelled:
In this study, two cases have been reported of idiopathic plantar hidradenitis, an uncommon dermatological pathology with a spontaneous favorable outcome.
Observations:
Two children aged 12 and 14 years presented with a painful papulo-nodular plantar rash with major functional impairment. The diagnosis of idiopathic plantar hidradenitis was considered, and then confirmed in one case by plantar biopsy. Non-steroidal antiinflammatory drugs, associated with paracetamol in one case were administered. The symptoms disappeared spontaneously within a few days in both cases, without any recurrence.
Conclusion:
A knowledge of the symptoms connected with plantar hidradenitis in the child allows a rapid diagnosis to be made without hospitalization or further medical examination. Analgesic treatment and rest seem to be the only useful approaches. Biopsy to investigate eccrine gland infiltration by neutrophils can only be proposed in the case of an abnormally prolonged duration or an atypical presentation of this pathology.