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Axillary Fox-Fordyce Disease Treated With Liposuction-Assisted Curettage
K. Mireille Chae, MD;
Michael A. Marschall, MD;
Stephanie F. Marschall, MD
From the Department of Dermatology, Rush-Presbyterian-St Luke's Medical
Center (Drs Chae and Stephanie F. Marschall), and the Division of Plastic
Surgery, University of Illinois at Chicago (Dr Michael A. Marschall), Chicago,
Ill.
Arch Dermatol. 2002;138:452-454.
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REPORT OF A CASE
A 33-year-old African American woman presented with a long history of
extremely pruritic, burning lesions in the axillae, on the breasts, and in
the inguinal area. The eruption first began at age 15 years, with flares following
pregnancy.
On physical examination, the patient was noted to have numerous discrete,
skin-colored papules in the axillae, around the areolae, and in the inguinal
area (Figure 1). Biopsy results
of one of these lesions were consistent with a diagnosis of Fox-Fordyce disease
or apocrine miliaria.
Figure appears in full text version.
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Figure 1. Pruritic papules of Fox-Fordyce
disease in the axilla prior to liposuction-assisted curettage.
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Treatment with oral contraceptives was started with minimal improvement.
Oral antihistamines were ineffective in controlling the pruritus. Topical
0.025% tretinoin cream and clindamycin in propylene glycol solution, each
used separately, did not improve her symptoms and were discontinued due to
. . . [Full Text of this Article]
THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
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