Simon M, Cremer H, von den Driesch P
Department of Dermatology, University of Erlangen-Nürnberg, Erlangen, Germany.
Arch Dermatol. 1998 Jan;134(1):76-9. doi: 10.1001/archderm.134.1.76.
Idiopathic recurrent palmoplantar hidradenitis (IRPH) is characterized by tender erythematous plaques and nodules on the soles and, less often, the palms of young patients. To date, 10 cases of IRPH have been documented in the literature.
We describe 22 pediatric patients with characteristic cutaneous and histologic findings of IRPH. Their mean age was 6 years (age range, 1.5-15 years). The onset of the disease clustered in 2 peaks, in autumn and spring. All patients had complete resolution of their lesions within 3 weeks, in 16 cases without any treatment. Ten of the 22 patients experienced more than 1 episode of IRPH.
Our study represents the largest number of cases of IRPH collected to date. Based on our data, the clinical picture is so characteristic that a histopathologic examination may not be necessary in every case. We suggest that there is a seasonality in the occurrence of this always benign and limited disease.
特发性复发性掌跖汗腺炎（IRPH）的特征是年轻患者的足底出现压痛性红斑斑块和结节，手掌出现的情况较少。迄今为止，文献中已记载10例IRPH病例。
我们描述了22例具有IRPH特征性皮肤和组织学表现的儿科患者。他们的平均年龄为6岁（年龄范围1.5 - 15岁）。疾病发作集中在两个高峰，秋季和春季。所有患者的皮损在3周内完全消退，16例未经任何治疗。22例患者中有10例经历了不止一次IRPH发作。
我们的研究是迄今为止收集到的IRPH病例数量最多的。根据我们的数据，临床表现非常具有特征性，以至于并非每个病例都需要进行组织病理学检查。我们认为这种始终为良性且局限性的疾病的发生存在季节性。
