Ann Dermatol.  2015 Aug;27(4):482-483. 10.5021/ad.2015.27.4.482.

Eccrine Chromhidrosis Resembling Clinical Features of Pompholyx with Bile-Like Greenish Pigmentation on the Right Palm and Soles

• Keum DI
• Hong H
• Lee SH
• Ahn SK

• KMID: 2171520
• DOI: http://doi.org/10.5021/ad.2015.27.4.482

Abstract

No abstract available.

MeSH Terms

Eczema, Dyshidrotic*
Pigmentation*

Figure

• 

  Fig. 1 (A) Multiple yellow and green papules without symptoms on the right hand and (B) soles of both feet. Upper inset: yellow and green pigmentation on the sole.

• 

  Fig. 2 (A) Upon histopathological examination of a yellow papule, the epidermis showed hyperkeratosis, diffuse acanthosis, and subcorneal vesicles (H&E, ×40). An increased number and size of eccrine glands (lower inset, ×200). Homogenous eosinophilic material (arrow) deposit in the epidermis and subcorneal vesicles (lower inset). (B) Both total and direct bilirubin decreased as clinical improvements are shown after 3 weeks.

Reference

1. Triwongwaranat D, Kasemsarn P, Boonchai W. Green pigmentation on the palms and soles. Acral green pigmentation (eccrine chromhidrosis). JAMA Dermatol. 2013; 149:1339–1340.

2. Lee WJ, Lee DW, Kim CH, Won CH, Chang SE, Lee MW, et al. Pompholyx with bile-coloured vesicles in a patient with jaundice: are sweat ducts involved in the development of pompholyx? J Eur Acad Dermatol Venereol. 2010; 24:235–236.

3. Park SH, Kim SW, Noh TW, Hong KC, Kang YS, Lee UH, et al. A case of palmar lichen nitidus presenting as a clinical feature of pompholyx. Ann Dermatol. 2010; 22:235–237.

4. Kanzaki T, Tsuda J. Bile pigment deposition at sweat pores of patients with liver disease. J Am Acad Dermatol. 1992; 26:655–656.

5. Allegue F, Hermo JA, Fachal C, Alfonsín N. Localized green pigmentation in a patient with hyperbilirubinemia. J Am Acad Dermatol. 1996; 35:108–109.