Ann Dermatol.  2015 Aug;27(4):435-438. 10.5021/ad.2015.27.4.435.

Multiple Segmental Eccrine Spiradenoma with a Zosteriform Pattern: A Case Report and Literature Review

• Ren F
• Hu Z
• Kong Q
• Sang H

• KMID: 2171502
• DOI: http://doi.org/10.5021/ad.2015.27.4.435

Abstract

Eccrine spiradenoma usually occurs as solitary tender nodules. However, it rarely occurs as multifocal localized tumors or has zosteriform distribution. We report the case of a 32-year-old woman with a 20-year history of itchy lesions on the left side of the back and forearm with a zosteriform distribution. Before disease onset, almost no patients have inducing factors, but our patient received an injection beforehand; however, whether this was coincidental or causative remains unknown. The lesions became very itchy after perspiration or eating spicy food, which has never been reported. A literature search revealed 22 cases of multiple segmental eccrine spiradenoma; we summarized the clinical characteristic in order to aid diagnosis and treatment selection.

Keyword

Eccrine spiradenoma; Itchy; Multiple; Zosterifrom

MeSH Terms

Adult
Diagnosis
Eating
Female
Forearm
Humans

Figure

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  Fig. 1 Zosteriform dermal nodules on the back and forearm.

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  Fig. 2 (A) Multiple well-circumscribed dermal nodules comprising basophilic cells in the deep dermis. The basaloid cells are arranged in a trabecular pattern with eosinophilic fibrous strands (H&E, ×40). (B) High-powered view demonstrating small dark basaloid cells with hyperchromatic nuclei, larger cells with pale nuclei in the center of the clusters, and numerous lymphocytes scattered throughout (H&E, ×400).

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