ECCRINE HIDROCYSTOMAS

By Gary M. White, MD


Eccrine Hidrocystomas Multiple clear, bluish papules about the eyes.

Clinical

Multiple clear fluid-filled cysts on the face, especially about the eyes, which become more prominent after periods of heat and sweating are characteristic. Middle to older-aged women seem to be most commonly affected. A solitary type may also occur.

Treatment

No treatment is needed. For multiple, very bothersome lesions, atropine 2% BID in petrolatum and 0.01% scopolamine cream (1.2 mL of 0.25% scopolamine eyedrops in 30 g of emollient cream) applied topically once daily have been used. Oral glycopyrrolate or oxybutynin have been used with success [Dermatol Ther. 2015 May;28(3):107-9]. Destructive modalities used have included laser, electrodessication and cryotherapy [Clin Exp Dermatol. 2014 Dec;39(8):908-10]. Botox injection has also been employed.

Additional Pictures

A solitary lesion on the cheek. Drained clear fluid when punctured.
Eccrine Hidrocystoma of the cheek

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.