Seasonal heat eccrine hidrocystoma: Robinson type

Authors

  • Khalifa E Sharquie Department of Dermatology, College of Medicine, University of Baghdad, Center of Dermatology, Medical City Teaching Hospital, Iraq
  • Waqas Abdulwahhab Department of Dermatology, Al-Qassimi Hospital, Sharjah. College of Medicine, University of Sharjah, UAE

Keywords:

Hidrocystoma, Eccrine hidrocystoma, Apocrine hidrocystoma

Abstract

Objective To do a full clinical evaluation of all gathered cases of eccrine hidrocystomas of Robinson type.   Methods This is a cross-sectional descriptive clinical study where all patients with eccrine hidrocystomas were seen during the period from 2014-2023. The different demographic features were described with full clinical evaluation.   Results Eighteen patients were seen, their ages ranged from 30-60 years with 17 (94.4%) females and one (5.6%) male. All patients presented during summer time from May-September then followed by complete remission in winter time but recurrent on next summer. The rash was itchy and burning consisting of skin-colored or erythematous shiny clear papules of a few millimeters in size. When punctured by a needle, clear fluid appeared. The location of the rash was the face mainly on the cheeks, around the eyes, and forehead. The rash was exacerbated over any heat exposure like working in a kitchen.   Conclusion This is a specific variant of eccrine hidrocystoma that was seen mostly in middle-aged females with seasonal variation seen only in summer time. As the rash is inflammatory, itchy and seasonal, we suggest the name: seasonal heat eccrine hidrocystoma. As preventive measure, we suggest to do botulinum toxin type A injection in early hot season to minimize sweating, thus avoiding rash appearance.  

References

Robinson AR. Hidrocystoma. J Cutan Genitourin Dis 1893; 11:293-303. Quoted from: Sperling LC, Sakas EL. Eccrine hidrocystomas. J Am Acad Dermatol. 1992;26:780-2.

Smith JD, Chernosky ME. Hidrocystomas. Arch Dermatol. 1973;108:676-9.

Dhattarwal N, Sondhi M, Mahajan VK. Multiple eccrine hidrocystomas of the face (Robinson type): Response to topical hyoscine butyl bromide. Our Dermatol Online J. 2021;12(3):307-9.

Maeng M, Petrakos P, Zhou M, Levine B, Lelli G, Setabutr P. Bi-institutional retrospective study on the demographics and basic clinical presentation of hidrocystomas. Orbit. 2017;36:433-5.

Ovhal AG, Deshkulakarani SV, Abhange RS, Birare SD. Rare benign cystic lesions on face: Apocrine hidrocystoma. Indian J Dermatol. 2016;61:237.

Correia O, Duarte AF, Barros AM, Rocha N. Multiple eccrine hidrocystomas—from diagnosis to treatment: The role of dermatoscopy and botulinum toxin. Dermatology. 2009;219:77-9.

Alfadley A, Al Aboud K, Tulba A, Mouras MM. Multiple eccrine hidrocystomas of the face. Int J Dermatol. 2001;40(2):125-9.

Kubaisi Thamir. Eccrine Hidrocystoma. Clinical Descriptive Study. 2009;7:34-8.

Odom R, James W, Timeltly B. Epidermal Nevi, Neoplasms, and Cysts in: Andrews Diseases of the Skin, Clinical Dermatology 9th edition WB Saunder Company, Philadelphia, 2000, pp 800-868.

Nagai Y, Ishikawa O, Miyachi Y. Multiple eccrine hidrocystomas associated with Graves' disease. J Dermatol. 1996;23(9):652-4.

Schröder K, Goerdt S. Multiple eccrine hidrocystomas in Parkinson disease. Hautartzt. 1997;48(4):270-3.

Ascherman JA, Knowles SL, Troutman KC. Extensive facial clefting in a patient with Goltz syndrome: multidisciplinary treatment of a previously unreported association. Cleft Palate Craniofac J. 2002;39:469-73.

Kudligi C, Kuntoji V, Bhagwat P, Raj SB. Eccrine hidrocystoma: A brief report. Our Dermatol Online J. 2018;9:341-2.

Ma L, Jakobiec FA, Wolkow N, Dryja TP, Borodic GE. Multiple eyelid cysts (apocrine and eccrine hidrocystomas, trichilemmal cyst, and hybrid cyst) in a patient with a prolactinoma. Ophthalmic Plast Reconstr Surg. 2018;34:e83-5.

Khashayar Sarabi, Amor Khachemoune. Hidrocystomas A Brief Review. MedGenMed. 2006;8(3):57.

Armstrong DK, Walsh MY. Corbett JR. Multiple facial eccrine hidrocystomas: effective topical therapy with atropine. Br J Dermatol. 1998;139:558-9.

Tanzi E, Alster T. Pulsed dye laser treatment of multiple eccrine hidrocystomas: a novel approach. Dermatol Surg. 2001;27:898–900.

Alster TS, Harrison IS. Alternative Clinical Indications of Botulinum Toxin. Am J Clin Dermatol. 2020;21(6):855-80.

doi 10.1007/s40257-020-00532-0. PMID: 32651806.

Downloads

Published

2024-10-11

How to Cite

1.
Sharquie KE, Abdulwahhab W. Seasonal heat eccrine hidrocystoma: Robinson type. J Pak Assoc Dermatol [Internet]. 2024Oct.11 [cited 2025Jan.26];34(4):846-50. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2636

Issue

Section

Original Articles