Multiple eccrine hidrocystomas--from diagnosis to treatment: the role of dermatoscopy and botulinum toxin.

Abstract

BACKGROUND:

Eccrine hidrocystomas are rarely described benign cystic lesions, mainly presenting in middle-aged women in the centrofacial area and usually associated with a chronic course, seasonal variability and no proved and consistently efficacious treatments.

CASE REPORT:

We report 2 patients, a 45- and a 56-year-old woman, with multiple facial eccrine hidrocystomas suggested by dermatoscopy, confirmed by histology and treated with botulinum toxin A with excellent results.

CONCLUSION:

Our report stresses the role of dermatoscopy in the diagnosis and follow-up of these lesions, as well as the impact of repeated treatments with botulinum toxin A in eccrine hidrocystomas suggesting it as a first-line treatment for multiple eccrine hidrocystomas because it is easy to use and has no risk of scars.

• Authors: Osvaldo Correia, Ana Filipa Duarte, Ana Margarida Barros, Natividade Rocha
• Journal: Dermatology (Basel, Switzerland) (Dermatology) Vol. 219 Issue 1 Pg. 77-9 ( 2009) ISSN: 1421-9832 [Electronic] Switzerland
• PMID: 19420900 (Publication Type: Case Reports, Journal Article)
• Copyright: 2009 S. Karger AG, Basel.

Chemical References

• Neuromuscular Agents
• Botulinum Toxins, Type A

Topics

• Botulinum Toxins, Type A (therapeutic use)
• Dermoscopy
• Facial Neoplasms (diagnosis, drug therapy)
• Female
• Hidrocystoma (diagnosis, drug therapy)
• Humans
• Middle Aged
• Neoplasms, Multiple Primary (diagnosis, drug therapy)
• Neuromuscular Agents (therapeutic use)
• Sweat Gland Neoplasms (diagnosis, drug therapy)