A Classic Clinical Case: Neutrophilic Eccrine Hidradenitis
نویسندگان
چکیده
BACKGROUND Neutrophilic eccrine hidradenitis (NEH) is a rare condition described mostly in adult patients receiving chemotherapy for acute myelogenous leukemia. When it affects the facial region, it can mimic cellulitis and delay the diagnostic, thus proper recognition is essential. OBJECTIVE This article describes a classic case of NEH. We will review the diagnostic, the differential diagnostic (mostly cellulitis) and the management of this condition. METHODS After a literature review, the patient's file was properly studied in order to portray a clear picture of this condition. Medical photographs and appropriate physical examination upon presentation are also included. RESULTS The diagnostic for NEH was suggested by the clinical presentation and confirmed histopathologically (skin biopsy). CONCLUSION The diagnostic of NEH is essential in order to prevent multiple unnecessary antibiotics.
منابع مشابه
A case report of neutrophilic eccrine hidradenitis in a patient receiving chemotherapy for acute myeloid leukaemia.
Neutrophilic eccrine hidradenitis (NEH) is a neutrophilic dermatosis primarily affecting the eccrine glands and occurs in patients undergoing chemotherapy. It must be distinguished from infections, drug eruptions, leukaemia cutis or other forms of skin diseases. As it is self-limiting, establishing the diagnosis will avoid unnecessary treatment for infections or changes in drug therapy.
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Dr. José A. Cancelas Pérez, Servicio de Hematología y Hemoterapia, Hospital Ramón y Cajal E-28034 Madrid (Spain) Neutrophilic eccrine hidradenitis is a rare self-limited cutaneous disorder associated with chemotherapy in patients with acute myeloid leukemia. Clinical presentation is variable and histopathologic features characteristically include selective necrosis of the eccrine sweat glands w...
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We describe a healthy 69-year-old Japanese man with generalized neutrophilic eccrine hidradenitis (NEH). He visited our outpatient clinic with a 15-year history of disseminated pruritic papules on his trunk and extremities; the eruptions, however, were limited to the summer months. Histological findings reveal a dense accumulation of neutrophils around the sweat glands with degenerated secretar...
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Neutrophilic eccrine hidradenitis (NEH) is a nonspecific clinicopathological reaction pattern, classified as a neutrophilic dermatosis, that usually develops in patients receiving chemotherapy for a hematologic malignancy. More rarely, it has been reported in association with infectious agents such as Serratia and Enterobacter species, Staphylococcus aureus, and human immunodeficiency virus. We...
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