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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

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A case of generalized red sweating.

Travis W Blalock¹, A Neil Crowson, Brandon Danford

¹University of Oklahoma College of Medicine, Department of Dermatology, Oklahoma City, Oklahoma.

Dermatology Online Journal

|March 18, 2015

Summary

This summary is machine-generated.

This study details a rare case of idiopathic chromhidrosis, a condition causing red pigmented sweat. The patient experienced widespread, unexplained red sweating, diagnosed via biopsy showing lipofuscin pigment.

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Area of Science:

Dermatology
Histopathology

Background:

Chromhidrosis is a rare condition characterized by the excretion of colored sweat.
It is typically associated with apocrine gland dysfunction.

Observation:

A 70-year-old male presented with a 5-year history of red pigmented sweating.
The condition affected multiple body sites including axillae, groin, forearms, trunk, and peri-nuchal areas.
No external or internal cause for the pigmented sweat was identified.

Findings:

Biopsy of affected skin revealed the presence of lipofuscin pigment within the sweat glands.
The distribution of pigmented sweating extended beyond typical apocrine gland areas.
The diagnosis of idiopathic chromhidrosis was established due to the absence of an identifiable cause.

Implications:

This case highlights an atypical presentation of chromhidrosis, challenging the conventional understanding of its distribution.
The presence of lipofuscin pigment suggests a potential role in the pathogenesis of this idiopathic form.
Further research may elucidate the specific mechanisms leading to lipofuscin accumulation and its association with chromhidrosis.