Chromhidrosis Clinical Presentation

Updated: May 14, 2018
  • Author: June Kim, MD; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

History taking should include a detailed investigation of the patient's environment and lifestyle to exclude exogenous causes.

Quantities of apocrine sweat are less than those of eccrine sweat. Usually, patients report axillary staining of their undershirt, staining of their bra, [12] or, less frequently, staining of the face or areola. Yellow is the most common color of axillary staining. An aura of warmth or a prickly sensation prompted by emotional or physical stimuli may precede the onset of colored sweat. Facial apocrine chromhidrosis is rarely described. It occurs most frequently on the cheeks and malar eminences. The secretion can often be expressed mechanically. [13]

Familial chromhidrosis has been reported. [14]

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Physical Examination

On careful inspection, the following signs can often be observed in chromhidrosis:

  • An odorless yellow, green, blue, brown, or black and turbid secretion that can be manually expressed from apocrine-bearing skin

  • Staining that is accentuated in the follicular orifices and pores

  • Glistening, adherent, deeply colored flecks that appear as the secretions dry

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