Tempark Therdpong, Wittayakornrerk Sanchawan, Jirasukprasert Laksanaree, Chatproedprai Susheera, Wananukul Siriwan
Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Department of Pediatrics, Nonthavej Hospital, Bangkok, Thailand.
Int J Dermatol. 2017 May;56(5):496-502. doi: 10.1111/ijd.13495. Epub 2017 Feb 23.
Chromhidrosis is a rare condition where colored sweat comes from the apocrine or eccrine glands. Pseudochromhidrosis is an uncommon condition where colored sweat is related to specific dye-producing bacteria, drugs, dyes, or chemical agents. This article provides a literature review of the various etiology, investigation, treatment, and prognosis. We propose an investigative algorithm to assist dermatologists, pediatric dermatologists, and general practitioners to diagnose this uncommon condition. The treatment options rely on the primary etiology such as removing dyes and chemical agents first and then treating the chromogenic bacteria. Topical and oral erythromycin seems to be the most effective treatment both in unidentified and identified chromogenic bacteria cases. Results and prognosis were excellent and without recurrence.