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KMID : 0363220180560050322
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Korean Journal of Dermatology
2018 Volume.56 No. 5 p.322 ~ p.324
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Recurrent Adult Idiopathic Neutrophilic Eccrine Hidradenitis Treated with Colchicine: A Case Report
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Park Ji-Hyun
Chun Seung-Hyun
Kim Bo-Young
Ryu Hwa-Jung
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Abstract
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Idiopathic neutrophilic eccrine hidradenitis is usually observed in healthy children with tender erythematous nodules on the soles or palms. We report a case of a 26-year-old man with a painful erythematous swollen patch on both hands and feet. His symptom recurred once monthly over 2 years; thus, he visited Orthopedics. However, no bony abnormality was identified. We performed a skin biopsy on an erythematous indurated patch on his right sole. Histopathological findings indicated neutrophilic eccrine hidradenitis. After 2 weeks of treatment with oral colchicine, his symptom resolved, and no relapses were observed during follow-up. Only a few case reports describe idiopathic neutrophilic eccrine hidradenitis in adults, which is not associated with malignant hematological disease, solid cancer, and chemotherapy. Conventional treatment comprises bed-rest and the administration of topical steroids. Colchicine can be a good treatment option for adults with severe or recurrent idiopathic neutrophilic eccrine hidradenitis.
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KEYWORD
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Colchicine, Neutrophilic eccrine hidradenitis
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