[Plantar hidradenitis].

F Grange; D Couilliet; S Krzisch; E Grosshans; J C Guillaume

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PubMed · 8761764

[Plantar hidradenitis].

F Grange·D Couilliet·S Krzisch·E Grosshans·J C Guillaume

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Abstract

INTRODUCTION: Plantar hidradenitis, one of several possible causes of painful papulo-nodular lesions of the foot in children and young adults, was recently described as the presence of characteristic lesions of the eccrine sweat glands. CASE REPORT: A 15-year-old boy consulted for a sudden-onset painful eruption on the sole of the right foot. Physical examination revealed papulo-nodular erythromato-violet infiltrated lesions located on the anterior part of the right planta. Histology examination showed dense neutrophil inflammatory infiltration predominating at the dermo-hypodermic junction around the eccrine sweat glands. The excretory ducts of the sweat glands were infiltrated but the secretory glomerulae were intact. A dense infiltration of venular thrombi without vasculitis was also seen. The lesion regressed with aspirin (8 days) and rest. No recurrence has been recorded after 18 months. DISCUSSION: This clinical and histological presentation led to the diagnosis of plantar hidradenitis, confirming the disease entity. Former cases may have been described as trauma-induced plantar urticaria or plantar erythema nodosum. This diagnosis should be entertained in children or young adults with painful papulo-nodular eruptions of the soles. The histology examination should include the eccrine sweat glands.

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Adolescent Diagnosis, Differential Erythema Nodosum Foot Dermatoses Hidradenitis Humans Male Case Reports English Abstract Journal Article

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F Grange, D Couilliet, S Krzisch, E Grosshans, J C Guillaume. 1996. [Plantar hidradenitis].. https://pubmed.ncbi.nlm.nih.gov/8761764/

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