Barankin Benjamin, Alanen Ken, Ting Patricia T, Sapijaszko Mariusz J A
Division of Dermatology, University of Alberta, Edmonton, Alberta, Canada.
J Drugs Dermatol. 2004 Mar-Apr;3(2):184-6.
A young woman presented to the office with a history of bluish discoloration involving the superior malar region bilaterally. When the bluish discoloration became darker, she would press on her cheeks resulting in excretion of "black sweat" that temporarily lightened her skin color. Examination revealed ill-defined slightly swollen soft plaques involving both superior cheeks. Upon pressure on the cheeks, a dark brown fluid was expressed. Histologic examination revealed collections of ectopic apocrine glands within mid-reticular dermis. The diagnosis of apocrine chromhidrosis was made, an uncommon cause of chromhidrosis and one in which bilateral facial presentation is rare.
一名年轻女性前来就诊，有双侧上颌部皮肤呈蓝色改变的病史。当蓝色加深时，她会按压脸颊，导致排出“黑色汗液”，使皮肤颜色暂时变浅。检查发现双侧上颌部有边界不清、轻度肿胀的柔软斑块。按压脸颊时，会挤出深棕色液体。组织学检查显示在网状真皮中层有异位顶泌汗腺聚集。诊断为顶泌汗腺色汗症，这是色汗症的一种罕见病因，双侧面部受累的情况很少见。
