Plantar Erythema Nodosum: Cases in Two Children

Idiopathic palmoplantar eccrine hidradenitis in children

“…In most of the reported patients [5,7,9,10,11], as well as in four of ours, several days of complete bed rest alone led to rapid resolution of the pain and disappearance of the eruption. Apparently, bed rest reduces sweat secretion and thereby relieves the in¯am-matory process.…”

“…Various treatment modalities have been tried in IPPH, including systemic antibiotics [3,11] nonsteroidal anti-in¯ammatory drugs [6,7,9,10,11], topical steroids [8,10], systemic steroids [10] and potassium iodate solution [1]. In most of the reported patients [5,7,9,10,11], as well as in four of ours, several days of complete bed rest alone led to rapid resolution of the pain and disappearance of the eruption.…”

“…Some studies also appeared in the 1980s, describing cases with a strikingly similar clinical presentation and natural history under dierent names, such as traumatic plantar urticaria [1,5] or plantar erythema nodosum [3,6,8,11]. All reported the abrupt appearance of usually symmetric multiple tender nodules on the soles of the feet and the spontaneous rapid resolution of the symptoms with complete rest.…”

Successful Treatment of Recurrent Idiopathic Plantar Eccrine Hidradenitis With Colchicine

“…1,5 In addition, the use of systemic or topical corticosteroids, antibiotics, and potassium iodide has been proposed; however, without convincing evidence for significant shortening of symptom duration. [6][7][8] The frequent relapses in our patient, which required bed rest each time, had a marked impact on his quality of life. Prompt initiation of systemic corticosteroids at the onset of 2 episodes did not show any improvement.…”

Juvenile Neutrophilic Eccrine Hidradenitis: A Vasculitis-like Plantar Dermatosis

“…All were young patients with unremarkable medical histories and no drugs exposure, who presented erythematoviolaceous lesions on the soles of one or both feet as well as the palms of the hands, without systemic symptoms and with an average course of 8 days whatever the treatment used. In children some cases of erythema nodosum localised on the soles have recently been described with histopathologic ®ndings of septal panniculitis [14,15].…”