Journal of Cutaneous and Aesthetic Surgery
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Year : 2009  |  Volume : 2  |  Issue : 1  |  Page : 43-44
A painless nodule with excessive sweating


Department of Dermatology, Venereology and Leprosy, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India

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Date of Web Publication1-Jul-2009
 

How to cite this article:
Sharath Kumar B C, Gopal M G, Nandini A S, Kumar S P. A painless nodule with excessive sweating. J Cutan Aesthet Surg 2009;2:43-4

How to cite this URL:
Sharath Kumar B C, Gopal M G, Nandini A S, Kumar S P. A painless nodule with excessive sweating. J Cutan Aesthet Surg [serial online] 2009 [cited 2019 Jun 25];2:43-4. Available from: http://www.jcasonline.com/text.asp?2009/2/1/43/53102



   Case Report Top


An 18-year-old girl presented with a painless, dusky, raised lesion covered with hairs, over the left shin since two years of her age. The lesion had been slowly growing from the time of appearance and there was history of increased sweating over the lesion. No aggravating or relieving factors for the increased sweating over the lesion could be noted. There was history of frequent trivial trauma to the lesion (due to its location over the anterior shin) associated with serosanguinous discharge and later scab formation.

Her general physical and systemic examinations were normal. Cutaneous examination revealed bluish grey, firm, hairy nodule, 2 3 cm, in size having an ulcerated surface with scabs at foci over the anterior aspect of the left lower limb [Figure 1] and [Figure 2]. Increased sweating and denser, darker coarse terminal hairs were noted over the lesion. Stroking failed to elicit any muscular contraction. No pulsations or bruit could be demonstrated over the lesion.

Examination of hair, nails and mucous membranes was unremarkable. The lesion was excised and submitted for histopathology [Figure 3] and [Figure 4].


   What is your Diagnosis ? Top




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   References Top

1.Vilanova X, Pinol-Aguade J, Castells A. Secreting sudoriferous angiomatous hamartoma. Dermatologica 1963;127:9-16.  Back to cited text no. 1    
2.Sanmartin O, Botella R, Alegre V, Martinez A, Aliaga A. Congenital eccrine angiomatous hamartoma. Am J Dermatopathol 1992;14:161-4.   Back to cited text no. 2  [PUBMED]  
3.Domonkos AN, Suarez LS. Sudoriparous angioma. Arch Dermatol 1967;96:552-3.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]
4.Martinelli PT, Tschen JA. Eccrine angiomatous hamartoma: A case report and review of the literature. Cutis 2003;71:449-55.  Back to cited text no. 4  [PUBMED]  
5.Hyman AB, Harris H, Brownstein MH. Eccrine angiomatous hamartoma. NY State J Med 1968;68:2803-6.  Back to cited text no. 5    
6.Aloi F, Tomasini C, Pippione M. Eccrine angiomatous hamartoma: A multiple variant. Dermatology 1992;184:219-22.  Back to cited text no. 6  [PUBMED]  
7.Seraly MP, Magee K, Abell E, Bridenstine J, Jegasothy BV. Eccrine-angiomatous nevus, a new variant. J Am Acad Dermatol 1993;29:274-5.   Back to cited text no. 7  [PUBMED]  
8.Sulica RL, Kao GF, Sulica VI, Penneys NS. Eccrine angiomatous hamartoma (nevus): Immunohistochemical findings and review of the literature. J Cutan Pathol 1994;21:71-5.   Back to cited text no. 8  [PUBMED]  
9.Zeller DJ, Goldman RL. Eccrine-pilar angiomatous hamartoma: A report of a unique case. Dermatologica 1971;143:100-4.   Back to cited text no. 9  [PUBMED]  

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Correspondence Address:
B C Sharath Kumar
Department of Dermatology, Venereology and Leprosy, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.53102

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    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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