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Dermatol. Online J. · Dec 2014
Review Case ReportsEccrine chromhidrosis secondary to hyperbilirubinemia.
- Jessica Kim So and Laura Romero.
- UC San Diego.
- Dermatol. Online J. 2014 Dec 14; 21 (3).
BackgroundEccrine chromhidrosis, or colored eccrine sweating, may be caused by contamination of sweat by dyes, pigmentation from microorganisms, or more rarely, hyperbilirubinemia. Pigment usually affects the palms and soles, where abundant sweat glands are found.Purpose, Material and Methods: We report a unique case of eccrine chromhidrosis in the setting of hyperbilirubinemia and review the current literature available on PubMed of previously reported cases.ResultsSix patients with chromhidrosis have been previously reported in the setting of significant hyperbilirubinemia, in association with fever and thickened stratum corneum.ConclusionsEccrine chromhidrosis secondary to hyperbilirubinemia is very rare, but can be diagnosed on the basis of classic clinical findings, dermoscopic examination, and negative tissue cultures.
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