Recurrent palmoplantar hidradenitis

Recurrent Palmoplantar Hidradenitis
Synonyms	Palmoplantar eccrine hidradenitis
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Recurrent Palmoplantar Hidradenitis is a rare dermatological condition characterized by painful, recurrent episodes of inflammation affecting the palms and soles. This condition is also known as palmoplantar eccrine hidradenitis.

Presentation

Patients with recurrent palmoplantar hidradenitis typically present with painful, erythematous nodules on the palms and soles. These nodules are often associated with sweating and can be exacerbated by heat and physical activity. The condition is more common in children and adolescents.

Pathophysiology

The exact pathophysiology of recurrent palmoplantar hidradenitis is not well understood. It is believed to involve inflammation of the eccrine sweat glands in the palms and soles. Factors such as mechanical stress, sweating, and bacterial infection may contribute to the development of the condition.

Diagnosis

Diagnosis of recurrent palmoplantar hidradenitis is primarily clinical, based on the characteristic appearance of the lesions and the patient's history. Biopsy may be performed to rule out other conditions and to confirm the diagnosis.

Treatment

Treatment options for recurrent palmoplantar hidradenitis include:

• Topical corticosteroids to reduce inflammation
• Antibiotics if a bacterial infection is suspected
• Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief
• Avoidance of triggers such as excessive heat and sweating

Prognosis

The prognosis for recurrent palmoplantar hidradenitis is generally good, with many patients experiencing resolution of symptoms over time. However, some individuals may have recurrent episodes that require ongoing management.

See also

• Hidradenitis suppurativa
• Eccrine glands
• Dermatology

External links

• Recurrent Palmoplantar Hidradenitis on WikiMD