- Email: [email protected]
Localized hyperhidrosis in the distal right arm
Localized hyperhidrosis in the distal right arm Bettina Kranzelbinder, MD, Michael Horn, MD, Werner Aberer, MD, Lorenzo Cerroni, MD, and Isabella Fried, MD Graz, Austria
A 50-year-old otherwise healthy woman presented with profuse intermittent sweating in a sharply demarcated area on the right ulnar forearm and hand (Video; available online at www.jaad.org). Since 2 years of age, the patient had been suffering from unpredictable attacks of hyperhidrosis at this location, persisting for about an hour, and occurring at irregular intervals of a few hours to several months. A thorough neurologic investigation was unremarkable. The low and high power views of the skin biopsy specimen can be seen in Figs 1 and 2. 1.
What is the most likely diagnosis in this case? A. Primary palmar hyperhidrosis B. Frey syndrome C. Eccrine nevus D. Eccrine angiomatous hamartoma E. Ross syndrome
2.
What is the pathogenesis of this condition? A. Functional nevus B. Ipsilateral thoracic tumor C. Peripheral neuropathy D. Cerebrovascular disease E. Hamartoma
From the Department of Dermatology, Medical University of Graz. Funding sources: None. Conflicts of interest: None declared. Reprint requests: Isabella Fried, MD, Department of Dermatology, Medical University of Graz, Auenbruggerplatz 8, 8036 Graz, Austria. E-mail: [email protected].
J Am Acad Dermatol 2014;70:e3-4. 0190-9622/$36.00 ª 2013 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2013.08.024
e3
e4 Kranzelbinder et al
3.
What is the best therapeutic option in this patient? A. Topical use of formaldehyde B. Pilocarpine iontophoresis C. Intracutaneous injections of botulinum toxin type A D. Endoscopic cubital sympathectomy E. Stepwise surgical excision Please visit http://www.eblueimages.org to answer these questions.
J AM ACAD DERMATOL
JANUARY 2014
A 50-year-old otherwise healthy woman presented with profuse intermittent sweating in a sharply demarcated area on the right ulnar forearm and hand (Video; available online at www.jaad.org). Since 2 years of age, the patient had been suffering from unpredictable attacks of hyperhidrosis at this location, persisting for about an hour, and occurring at irregular intervals of a few hours to several months. A thorough neurologic investigation was unremarkable. The low and high power views of the skin biopsy specimen can be seen in Figs 1 and 2. 1.
What is the most likely diagnosis in this case? A. Primary palmar hyperhidrosis B. Frey syndrome C. Eccrine nevus D. Eccrine angiomatous hamartoma E. Ross syndrome
2.
What is the pathogenesis of this condition? A. Functional nevus B. Ipsilateral thoracic tumor C. Peripheral neuropathy D. Cerebrovascular disease E. Hamartoma
From the Department of Dermatology, Medical University of Graz. Funding sources: None. Conflicts of interest: None declared. Reprint requests: Isabella Fried, MD, Department of Dermatology, Medical University of Graz, Auenbruggerplatz 8, 8036 Graz, Austria. E-mail: [email protected].
J Am Acad Dermatol 2014;70:e3-4. 0190-9622/$36.00 ª 2013 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2013.08.024
e3
e4 Kranzelbinder et al
3.
What is the best therapeutic option in this patient? A. Topical use of formaldehyde B. Pilocarpine iontophoresis C. Intracutaneous injections of botulinum toxin type A D. Endoscopic cubital sympathectomy E. Stepwise surgical excision Please visit http://www.eblueimages.org to answer these questions.
J AM ACAD DERMATOL
JANUARY 2014