2001
DOI: 10.1046/j.1365-2230.2001.00785.x
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Neutrophilic eccrine hidradenitis in two neutropaenic patients

Abstract: We describe two patients, who presented with erythematous facial plaques, in keeping with neutrophilic eccrine hidradenitis, during chemotherapy for acute myeloid leukaemia. Both patients were neutropaenic and febrile. Histology showed a dermal neutrophilic infiltrate around the eccrine glands with gland destruction. The importance of recognizing this disorder is to prevent the inappropriate use of antibiotics as it is self limiting.

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Cited by 20 publications
(25 citation statements)
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“…Other cases have been reported in the literature. Six patients receiving induction chemotherapy with cytarabine for acute myelogenous leukemia presented facial plaques with similar descriptions [5, 6, 7, 8]. However, observations regarding the evolution of the plaques are poor except for 3 of the cases in whom the lesions slowly extended across the face [5, 7] or neck-trunk region [7].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Other cases have been reported in the literature. Six patients receiving induction chemotherapy with cytarabine for acute myelogenous leukemia presented facial plaques with similar descriptions [5, 6, 7, 8]. However, observations regarding the evolution of the plaques are poor except for 3 of the cases in whom the lesions slowly extended across the face [5, 7] or neck-trunk region [7].…”
Section: Discussionmentioning
confidence: 99%
“…Associations other than malignancy or chemotherapy have been made in the literature. The treatment is symptomatic and mainly involves topical or systemic corticosteroids [1, 7, 9]. Nonetheless, corticosteroids should be used with caution in neutropenic patients.…”
Section: Discussionmentioning
confidence: 99%
“…30 In patients with severe neutropenia, the neutrophilic infiltrate may be absent; however, necrosis of the eccrine epithelium is typical. 31 NEH is a selflimiting adverse reaction. 31 Frequently, the process resolves within a month, without treatment.…”
Section: Neutrophilic Eccrine Hidradenitismentioning
confidence: 99%
“…31 NEH is a selflimiting adverse reaction. 31 Frequently, the process resolves within a month, without treatment. In other chemotherapy cycles, 60% of the patients may relapse.…”
Section: Neutrophilic Eccrine Hidradenitismentioning
confidence: 99%
“…Neutrophilic eccrine hidradenitis is also a recurrent papulopustular eruption seen in patients undergoing chemotherapy; however, in neutrophilic eccrine hidradenitis histology shows a neutrophilic infiltrate causing degeneration of the eccrine gland. 6 The exact cause of EPF is unknown. Numerous studies have implicated chemotactic agents, interleukin-5, cyclooxygenase-generated metabolites, and intercellular adhesion molecule (ICAM)-1.…”
Section: Eosinophilic Pustular Folliculitis Induced By Chemotherapymentioning
confidence: 99%