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Multiple linear eccrine spiradenomas with eyelid involvement.

S Gupta1, B D Radotra, I Kaur

  • 1Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of the European Academy of Dermatology and Venereology : JEADV
|August 10, 2001
PubMed
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Multiple eccrine spiradenomas, rare painful sweat gland tumors, can present linearly along Blaschko's lines. This linear arrangement is a key diagnostic indicator for these uncommon skin neoplasms.

Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Eccrine spiradenoma is an uncommon benign sweat gland tumor.
  • Typically presents as a solitary, painful nodule.
  • Rarely, multiple tumors may exhibit a linear or zosteriform pattern.

Observation:

  • A case of a 23-year-old female with multiple eccrine spiradenomas arranged linearly on the face, potentially along Blaschko's lines.
  • Lesions extended from the forehead to the mouth and eyelid margin.
  • Surgical excision was performed in stages.

Findings:

  • Literature review identified only 13 reported cases of linear/zosteriform/naevoid multiple spiradenomas.
  • Only four cases of solitary spiradenoma of the eyelid were found.
  • The study highlights the diagnostic significance of a linear/zosteriform pattern in multiple spiradenomas.

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Implications:

  • Recognizing the linear/zosteriform pattern is crucial for diagnosing multiple (naevoid) eccrine spiradenomas.
  • This presentation may indicate a specific subtype or developmental anomaly.
  • Further research into the etiology and management of patterned eccrine spiradenomas is warranted.