Chromhidrosis, apocrineL75.1
Synonym(s)
apocrine chromium hydrosis; Chromhidrosis intrinsic; Chromhidrosis localized; Chromhidrosis real; intrinsic chromohidrosis; localized chromhidrosis; true chromic acid rose
DefinitionThis section has been translated automatically.
Secretion of coloured (yellow, black, blue, green) sweat from apocrine sweat glands due to increased deposition of lipofuscin. The different colours correspond to different oxidation levels of the pigment. A distinction is made between the axillary and facial form.
ManifestationThis section has been translated automatically.
Rarely found in whites; frequently found in members of the black ethnicity (10% of all blacks). Beginning after puberty, most pronounced at sexual maturity.
LocalizationThis section has been translated automatically.
Axilla; rarely localized on forehead and cheeks (aberrating apocrine sweat glands).
Clinical featuresThis section has been translated automatically.
Punctual discharge of coloured, most frequently yellow sweat, especially during emotional excitement. Discoloration of the underwear, possibly also of the axillary skin.
DiagnosisThis section has been translated automatically.
Sweat provocation test with adrenaline (selectively provokes apocrine glands), Minorsch sweat test.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
No causal therapy known.
External therapyThis section has been translated automatically.
- Although excision of the glandular tissue in the armpits is effective, in our opinion the surgical procedure is disproportionate to the disease.
- Try capsaicin 0.01%, e.g. R037. Initially 2 times/day then increase in 0.05% steps every 3-4 days, depending on tolerance and therapy success.
LiteratureThis section has been translated automatically.
- Cilliers J et al (1999) The case of the red lingerie - chromhidrosis revisited. Dermatology 199: 149-152
- Marks JG (1989) treatment of apocrine chromhidrosis with topical capsaicin. J Am Acad Dermatol 21: 18-20
- Schwarz T et al. (1989) Apocrine Chromhidrosis. Dermatologist 40: 106-109
- Thami GP et al (2000) Red facial pseudochromhidrosis. Br J Dermatol 142: 1219-1220