Palmoplantar eccrine hidradenitis L73.2

Stahr et al. 1994

Acute, deep-seated, painful, red papules, plaques and/or nodules that occur without signs of a systemic disease, preferably on the soles of the feet, less frequently on the palms of the hands.

Predisposing factors are prolonged exposure to moisture or cold, e.g. after prolonged stay in water.

The disease occurs mainly in childhood.

Biopsy findings are only available in isolated cases. A dense inflammatory infiltrate, predominantly neutrophil granulocytes, was found around end pieces and excretory ducts of the sweat glands. Also sterile abscess formations.

External glucocorticoids until efflorescences heal.

Spontaneous healing within 10-14 days. Recurrence possible with repeated exposure to cold and moisture.

1. Abbas O et al (2010) Question: Can you identify this condition? Palmoplantar eccrine hidradenitis. Can Fam Physician 56:666
2. Esler-Brauer L et al (2007) Tender nodules on the palms and soles: palmoplantar eccrine hidradenitis. Arch Dermatol 143:1201-1206
3. Höger P (2005) Child dermatology. Schattauer Publisher Stuttgart-NewYork S 291-292
4. Housni Alaoui I et al (2015) An uncommon cause of delayed walking: idiopathic palmoplantar hidradenitis. Arch Pediatr 22:306-308
5. Piccini P et al (2018) Bilateral Painful Erythematous Nodules on the Sole.
   J Pediatr 199:278.
6. Salik D et al (2014) Palmoplantar neutrophilic eccrine hidradenitis with general extension in a child in remission after acute lymphoblastic leukemia. Ann Dermatol Venereol 141:285-289
7. Stephan Fet al (2010) Palmoplantar hidradenitis. Ann Dermatol Venereol 137:578-579