So Jessica Kim, Romero Laura
UC San Diego.
Dermatol Online J. 2014 Dec 14;21(3):13030/qt6hz8s1mh.
Eccrine 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.
Six patients with chromhidrosis have been previously reported in the setting of significant hyperbilirubinemia, in association with fever and thickened stratum corneum.
Eccrine chromhidrosis secondary to hyperbilirubinemia is very rare, but can be diagnosed on the basis of classic clinical findings, dermoscopic examination, and negative tissue cultures.
小汗腺色汗症，即有色小汗腺出汗，可能由染料污染汗液、微生物色素沉着引起，或更罕见的情况下由高胆红素血症导致。色素通常影响手掌和足底，这些部位有丰富的汗腺。目的、材料与方法：我们报告了一例高胆红素血症背景下的独特小汗腺色汗症病例，并回顾了在PubMed上可获取的既往报道病例的现有文献。
既往曾报道6例高胆红素血症伴发热及角质层增厚背景下的色汗症患者。
高胆红素血症继发的小汗腺色汗症非常罕见，但可根据典型临床表现、皮肤镜检查及组织培养阴性结果进行诊断。
