Recurrent Adult Idiopathic Neutrophilic Eccrine Hidradenitis Treated with Colchicine: A Case Report.
- Author:
Ji Hyun PARK
1
;
Seung Hyun CHUN
;
Bo Young KIM
;
Hwa Jung RYU
Author Information
1. Department of Dermatology, Korea University Ansan Hospital, College of Medicine, Korea University, Ansan, Korea. dermhj@naver.com
- Publication Type:Case Report
- Keywords:
Colchicine;
Neutrophilic eccrine hidradenitis
- MeSH:
Adult*;
Biopsy;
Child;
Colchicine*;
Drug Therapy;
Follow-Up Studies;
Foot;
Hand;
Hematologic Diseases;
Hidradenitis*;
Humans;
Neutrophils*;
Orthopedics;
Recurrence;
Skin;
Steroids
- From:Korean Journal of Dermatology
2018;56(5):322-324
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Idiopathic neutrophilic eccrine hidradenitis is usually observed in healthy children with tender erythematous nodules on the soles or palms. We report a case of a 26-year-old man with a painful erythematous swollen patch on both hands and feet. His symptom recurred once monthly over 2 years; thus, he visited Orthopedics. However, no bony abnormality was identified. We performed a skin biopsy on an erythematous indurated patch on his right sole. Histopathological findings indicated neutrophilic eccrine hidradenitis. After 2 weeks of treatment with oral colchicine, his symptom resolved, and no relapses were observed during follow-up. Only a few case reports describe idiopathic neutrophilic eccrine hidradenitis in adults, which is not associated with malignant hematological disease, solid cancer, and chemotherapy. Conventional treatment comprises bed-rest and the administration of topical steroids. Colchicine can be a good treatment option for adults with severe or recurrent idiopathic neutrophilic eccrine hidradenitis.
