AI Article Synopsis
- A young woman exhibited bluish discoloration on her cheeks that darkened over time and resulted in the release of a dark fluid when pressure was applied.
- The physical examination showed swollen soft plaques and a dark brown secretion upon pressure, indicating an issue beneath the skin.
- A histologic analysis identified ectopic apocrine glands in the dermis, leading to the diagnosis of apocrine chromhidrosis, a rare condition affecting the face.
Article Abstract
A young woman presented to the office with a history of bluish discoloration involving the superior malar region bilaterally. When the bluish discoloration became darker, she would press on her cheeks resulting in excretion of "black sweat" that temporarily lightened her skin color. Examination revealed ill-defined slightly swollen soft plaques involving both superior cheeks. Upon pressure on the cheeks, a dark brown fluid was expressed. Histologic examination revealed collections of ectopic apocrine glands within mid-reticular dermis. The diagnosis of apocrine chromhidrosis was made, an uncommon cause of chromhidrosis and one in which bilateral facial presentation is rare.
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