All bacteriological swabs of female patient (neck, upper arm, axilla, hand, and foot) had heavy growth of 2 strains of Bacillus cereus. Greenberg L. Serratia marcescens in human affairs. "For people with apocrine chromhidrosis, these secretions contain a greater concentration of highly oxidized lipofuscin granules, giving them a significantly darker green-brown to blue-black color.". The authors also suggested that topiramate reduces aquaporin-5 expression in the skin. Banerjee D, Mondal A, Gupta M, Guha AK, Ray L. Optimization of fermentation conditions for green pigment production from Bacillus cereus M116 (MTCC 5521) and its pharmacological application. Derivatives of the skin. Upper respiratory infection symptoms include coughing, runny nose, sneezing and throat pain. That means the norovirus infection can easily spread to others. It can occur weeks or years after infection with the TB bacteria. Other than. SPORTS + SWEATING PLAYBOOK VOLUME 2: RUNNING COLD. You can use pain relievers to feel better. These glands are in the underarm and genital regions, as well as the scalp, torso, eyelid, outer ear canal and nipple areas. Fluorescent material on dorsal aspects of the feet (especially interdigitally). A literature search of PubMed, Cochrane Library, and Google Scholar was performed in the period November 2018 to January 2019. Sometimes an underlying condition may be found and treated. Australas J Dermatol 2016; 57: e2325. Mapara A TV, Khandelwal AK. reviewed pigment production in Corynebacterium spp., and reported that carotenoid production is one of many important virulence factors (59). Chromhidrosis is a harmless condition. Read the reviews and add your own to help us continue to earn this wonderful recognition each year. Triwongwaranat D, Kasemsarn P, Boonchai W. Green pigmentation on the palms and soles. Epilepsia 2001; 42: 13631365. While it isnt life-threatening, chromhidrosis often causes emotional distress. Lipofuscins are yellow-brown pigment granules made of fat-like residues. American Academy of Dermatology Association. Lack of interest in activities you once enjoyed. Sometimes excessive sweating is a sign of a serious condition. Rogolsky M. Genetic mapping of a locus which regulates the production of pigment associated with spores of Bacillus subtilis. J Am Acad Dermatol 1989; 21: 418420. Others have noted thatBotox injectionscan treat chromhidrosis. Heavy sweating can disrupt your day and cause social anxiety and embarrassment. Generally speaking, the virus is most likely to spread from the time your symptoms . Krishnaram AS, Bharathi S, Krishnan S. An interesting case of bisacodyl (dulcolax)-induced chromhidrosis. In other words, it's not your sweat that's colored the color comes from the way your sweat interacts with other things outside your body. You may opt-out of email communications at any time by clicking on As neither MaldiTOF nor 16S rRNA can distinguish properly between the B. cereus, B. anthracis and B. thuringiensis, it was concluded that the isolates belong to the B. cereus group and are non-anthracis. Yamada-Ankei T, Iwasaki H, Mori T. Production of copper coproporphyrin III by Bacillus cereus. J Clin Microbiol 1994; 32: 164169. To our knowledge, no definition of this disorder has been proposed. However, no matter the type or types that are causing your symptoms, working with a skin specialist can help get your symptoms under control and improve your skin. 1. Accessed June 29, 2022. Can poor sleep impact your weight loss goals? The coloration may be barely noticeable and restricted to a few locations or more widespread. Case reports of infectious pseudochromhidrosis and causative microorganisms. Tracking your daily activities for two to three weeks such as what you've eaten and any chemicals you've come into contact with leading up to your doctor's appointment can be helpful in determining your triggers and what the potential culprits might be. There are reports of orange (9), red (10), blue (8, 9, 1120), green (13, 21), and brown/black (2226) sweat. A single copy of these materials may be reprinted for noncommercial personal use only. The virus is shed in stool and vomit. Signs and symptoms of active TB include: Coughing for three or more weeks. Accessed June 28, 2022. Many of these pigments are extracellular, and thereby able to colour the skin surface and/or stain clothes (85). You may sweat so much that it soaks through your clothes or drips off your hands. You can get norovirus by accidentally getting tiny particles of feces (poop) or vomit from an infected person in your mouth. As stated in the methods section, hands and feet were the first regions to show blue-coloured sweat. Unfortunately, apocrine chromhidrosis is a chronic skin condition symptoms can regress as you age, but there's no guarantee they will. Two glands produce sweat: eccrine and apocrine glands. Due to her reports of hypohidrosis, a sweat provocation test with following sweat pH measurements (Jenway pH meter, Model 3510, Cole-Parmer, Staffordshire, UK) were performed. Eccrine chromhidrosis can affect the skin over any body area but is often worst on the palms and soles where eccrine sweat glands are most concentrated. Singal A, Thami GP. Infectious pseudochromhidrosis seems to be triggered by certain drugs and conditions causing physiological alterations and/or changes in microflora on the skin surface. This theory is strengthened by studies indicating that hypohidrosis could be an adverse effect of topiramate (38, 98100). In: Dermatology: An Illustrated Colour Text. These symptoms can include: There are a few possible causes of chromhidrosis, depending on the type. Search terms included chromhidrosis, pseudochromhidrosis, coloured sweat, lipofuscin, bacterial pigment, fungal pigment, and promethazine sweat. Nosanchuk JD, Stark RE, Casadevall A. Fungal melanin: what do we know about structure? Referred Bacillus spp. Australas J Dermatol. Keum DI, Hong H, Lee SH, Ahn SK. You can spread the common cold from a few days before your symptoms appear until all of the symptoms are gone. Chromhidrosis can occur at nearly any age, but it usually becomes noticeable after puberty, when the apocrine glands begin secreting fluid.The International Hyperhidrosis Society (IHS) note that information about this condition is scarce because it is so rare. Although you typically feel better after a day or two, you're contagious for a few days after you recover. [A woman with blue sweat]. While it can occur at any age, its most often noticeable after puberty. The best treatment depends on the type of chromhidrosis: Treatment for this type of chromhidrosis either aims to reduce the amount of sweat or to induce the sweat and empty the glands. Snider DE, Jr., Farer LS. "All apocrine fluid contains yellow-brown granules called lipofuscin," Dr. Friedmann says. Pseudochromhidrosis occurs when sweat interacts with certain substances, resulting in colored sweat. Mol Microbiol 2005; 56: 971989. Either way, because the condition is chronic, treatment will need to be maintained for continuous results. Griffith JR. Isolated areolar apocrine chromhidrosis. Pseudomonas aeruginosa blue-green IPCH (36, 48, 62): P. aeruginosa is a Gram-negative, aerobic coccobacillus, which is widespread in nature (63). The childs swabs grew no microorganisms other than normal microflora. International Hyperhidrosis Societyhas been awarded as a Top-Rated Nonprofit since 2012! From a medical perspective, the pathogenic species C. diphtheriae (diphtheria), C. ulcerans (diphtheria-like infections), C. tenuis (trichomycosis axillaris), C. minutissimum (erythrasma), and C. striatum (endocarditis) might be of greatest interest. Noroviruses are highly contagious. Asahina M, Poudel A, Hirano S. Sweating on the palm and sole: physiological and clinical relevance. 3). Noroviruses can stay on surfaces and objects for days or weeks. To date, none of the previous studies have specifically reported a blue pigmentation as a result of colonization with B. cereus. Appl Environ Microbiol 2009; 75: 493503. Schmid-Wendtner MH, Korting HC. No skin biopsy was performed. Apocrine secretion can be triggered by emotions (stress and anxiety), rubbing of apocrine-heavy areas (friction from clothes) and hot showers and baths, so doing what you can to reduce these triggers practicing mindfulness, wearing breathable clothing, taking lukewarm showers can be a solid first step. Treatment of apocrine chromhidrosis with topical capsaicin. Hand-foot-and-mouth disease is a mild, contagious viral infection common in young children. Haematohidrosis. Please tell us where you sweat so we can help you and others. Indian J Dermatol 2017; 62: 675. Multiple bacteriological and mycological swabs were taken from all 3 family members. Apocrine glands develop in areas with many hair follicles, such as on the scalp, armpits and groin. Moayedi A, Nowroozi J, Sepahy AA. Because it develops in the skin folds, inverse psoriasis can cause significant discomfort and distress. J Pak Med Assoc 2013; 63: 11921194. Four bacteria are known to be involved in infectious pseudochromhidrosis: Bacillus spp. Others may have such mild sweat discoloration that they do not even notice it. Whether promethazine is the sole trigger is currently unknown. information and will only use or disclose that information as set forth in our notice of Wang A, Wysong A, Nord KM, Egbert BM, Kosek J. Chromhidrosis: a rare diagnosis requiring clinicopathologic correlation. (brown/black colour), Serratia marcescens (red/pink colour), and Pseudomonas aeruginosa (blue-green colour). 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). The authors have no conflicts of interest to declare. Front Microbiol 2017; 8: 1937. They're fatty deposits of cholesterol caused. 3. Acta Derm Venereol 2009; 89: 538539. BMC Microbiol 2012; 12: 198. Chromhidrosis is a serious skin disease that can significantly affect your quality of life. The secreted pyomelanin pigment of Legionella pneumophila confers ferric reductase activity. health information, we will treat all of that information as protected health We encourage you to subscribe to our email alerts and blog to stay on top of sweat-related news, research, and events. Chiriac A, Brzezinski P, Foia L, Marincu I. Chloronychia: green nail syndrome caused by Pseudomonas aeruginosa in elderly persons. Rodriguez-Martin M, Rodriguez MS, Cabrera AN. Oxidation of lipofuscin, as well as the increase in number of lipofuscin granules, are thought to cause the skin discolouration (4, 5). Eccrine sweat glands occur over most of the body and open directly onto the skin's surface. Castela E, Thomas P, Bronsard V, Lacour JP, Ortonne JP, Passeron T. Blue pseudochromhidrosis secondary to topiramate treatment. The infectiousness of this disorder has been exemplified in other studies (36, 44) as well as by the current case report. Epidermolysis bullosa, a connective tissue disorder that causes fragile skin that blisters and tears easily. Clin Microbiol Rev 2010; 23: 382398. Burkovski A. Corynebacteria: genomics and molecular biology. Liu GY, Nizet V. Color me bad: microbial pigments as virulence factors. Apocrine chromhidrosis over dorsum of foot: a case report. While it can occur at any age, its most often noticeable after puberty. Eccrine chromhidrosis may occur anywhere on the body, as eccrine glands are widely distributed, except in areas such as the lips. Although there have been several reports of pregnant people turning their toilet seats blue, there's no research connecting chromhidrosis and pregnancy. other information we have about you. If medication is the cause of your colored sweat, it should return to normal after the medication is discontinued. You may prevent contagious skin diseases or reduce their symptoms if you: Avoid sharing utensils, personal items or cosmetics. Bacillus cereus, a volatile human pathogen. Lan L, Cheng A, Dunman PM, Missiakas D, He C. Golden pigment production and virulence gene expression are affected by metabolisms in Staphylococcus aureus. While it doesnt threaten your health, seborrheic keratosis can have a major impact on your confidence and self-esteem. Bilgin I, Kelekci KH, Catal S, Calli A. Late-onset apocrine chromhidrosis. There's no specific treatment for hand-foot-and-mouth disease. I. Purification and identification of copper coproporphyrin III. The same authors reported that palmoplantar sweat gland activity is regulated in other neuroanatomical centres (most likely limbic structures) than eccrine sweat gland activity elsewhere on the integument. Interestingly, our patients unspecified hypohidrotic condition could, in fact, have been intensified by the use of promethazine: Zahejsky & Rovensky reported a significant reduction in palmar sweating after administration of promethazine in their clinical study (101). is chromhidrosis contagious. J Invest Dermatol 1961; 36: 259272. Know sweat. information highlighted below and resubmit the form. Int J Dermatol 2017; 56: 496502. P. aeruginosa may produce multiple water-soluble pigments, most commonly pyocyanin (blue) and pyoverdine (dim muddy yellow with a green fluorescence) causing the distinguishing blue-green hue (36, 64, 65, 87). Fig. 4th edn. Pigments do this by interfering with the host immune system and/or provoking inflammatory damage to cells and tissues (83). Here's What Your Body's Trying to Tell You. Chromhidrosis causes the sweat glands to secrete colored sweat. The color may only affect sweat in certain areas or sweat all over the body. Dermoscopy of the discoloured areas revealed diffuse superficial pigmentation and an unmodified skin pattern (as postulated by Pistone et al. Inhibition of this enzyme may alter the primary sweat composition and reduce water formation. affecting the skin, including rare conditions such as chromhidrosis. Potential triggers of infectious pseudochromhidrosis (IPCH). As such, some microorganisms invest heavily in pigment production, producing up to 30% of their dry weight as pigments (84). Panagoulias GS, Basagiannis CS, Tentolouris N, Stavropoulou E, Karnesis L. Colored sweat caused by pseudochromhidrosis. Sweat may be yellow, green, blue, brown, or black. However, stress or embarrassment about the coloration can lead to depression and anxiety. Arcas J, Ferrer T, Roche MC, Martnez-Bermejo A, Lpez-Martn V. Hypohidrosis related to the administration of topiramate to children. Eccrine chromhidrosis may be caused by something internal, like an infection or excess bilirubin (an orange-yellow pigment formed in the liver), or external, like the ingestion of certain substances, Dr. Friedmann says. Accessed June 29, 2022. Review of reported cases of chromhidrosis. Symptoms usually appear within one to two days of exposure. Indian J Dermatol Venereol Leprol 2012; 78: 756758. The goal of treatment for chromhidrosis is to reduce symptoms in order to also reduce any related psychosocial impacts or stigma. Koley S, Mandal RK. McGraw Hill; 2019. https://accessmedicine.mhmedical.com. Her symptoms resemble acquired idiopathic anhidrosis; however, this was not investigated further. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. No blood samples or other diagnostic tests were performed. Hyperhidrosis treatment usually helps. Symptoms are usually worse during the first 2 to 3 days, and this is when you're most likely to spread the virus. [2] It is caused by the deposition of lipofuscin in the sweat glands. J Bacteriol 1970; 102: 871873. The pigments described comprise a heterogeneous group of carotenoids (terpenoid pigments) (6772), melanins (7377), alkaloids (78, 79), porphyrins (80, 81), siderophores (65), and flavins (82). Takita Y, Ichimiya M, Yamaguchi M, Hamamoto Y, Muto M. A case of pseudochromhidrosis due to dihydroxyacetone. A more common type of discolored sweat is called pseudochromhidrosis. Mayo Clinic. face, axillae, anogenital area, and breast areolae) that . of signs you need emergency medical attention or call 911. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Butt sweat: Why it happens and how to get rid of it, a general feeling of hopelessness, worthlessness, helplessness, guilt or pessimism, a persistent anxious, sad, or empty mood, a decrease in energy or increase in fatigue, a lack of interest in once enjoyable activities, trouble concentrating, making decisions, or remembering, stimuli such as anxiety, sexual arousal, or pain, certain medications, such as bisacodyl, a laxative, when it is coated in tartrazine, a yellow dye, applying a capsaicin cream once or twice a day, though this can cause a burning sensation. Ditto for manual pressure (pressing down to express the glands) to improve the look of the affected area, with results lasting only 24 to 72 hours. Pigments of Staphylococcus aureus, a series of triterpenoid carotenoids. Cutis 2010; 86: 305308. Hyperhidrosis. Pistone G, Bellomo L, Alaimo R, Bongiorno MR. Pseudochromhidrosis: the role of dermoscopy in diagnosis. This process might involve your doctor testing skin scrapings, secretion smears and extraction samples from clothing. include protected health information. She had started daily 25 mg promethazine due to pruritus 6 months earlier. Trends Microbiol 2009; 17: 406413. It often begins with antiperspirants. Margari L, Ventura P, Buttiglione M, Presicci A, Lucarelli E, Sardaro M, et al. Depending on the cause of your child's pink eye, signs and symptoms usually improve within a few days to two weeks. One study from Hiroshima reported large amounts of intracellular, purple pigment (copper coproporphyrin III) in a B. cereus strain (81, 89). reported blue skin discolouration due to Bacillus spp. Machowinski A, Kramer HJ, Hort W, Mayser P. Pityriacitrin a potent UV filter produced by Malassezia furfur and its effect on human skin microflora. Seek immediate medical attention if you have heavy sweating with dizziness, pain in the chest, throat, jaw, arms, shoulders or throat, or cold skin and a rapid pulse. Castela et al. Some of them are. "Because of its wide range of underlying causes, eccrine chromhidrosis can happen at any age," Dr. Friedmann says. Some people may experience a warm, tingly sensation before the appearance of colored sweat. In pseudochromhidrosis, a far more common disorder, sweat becomes colored after secretion from the sweat gland. https://www.uptodate.com/content/search. All rights reserved. Only a few species, however, have been identified to produce carotenoid pigments (e.g. Children should stay home from school or child care for at least 48 hours after the last time they . Blurred circle covering tattoo. Heavy sweating can disrupt your day and cause social anxiety and embarrassment. PCRs for dermatophytes were negative. Clin Dermatol 2015; 33: 483491. Chromhidrosis is a rare condition characterized by the secretion of colored sweat. Drewnowska JM, Zambrzycka M, Kalska-Szostko B, Fiedoruk K, Swiecicka I. Melanin-like pigment synthesis by soil bacillus weihenstephanensis isolates from northeastern Poland. No wheals were induced during exercise. J Clin Microbiol 1978; 8: 105107. Although the condition is chronic, the discoloration of sweat may decrease over time as the body produces less lipofuscin, a pigment that is likely responsible for the color changes. The blue discolouration appeared 23 weeks after his wifes. Treatment of chromhidrosis may involve reducing sweat. Appl Environ Microbiol 2002; 68: 40954101. Eccrine glands are found almost everywhere on the body (except for the outer ear canal, lips and certain areas of the genital region) and they're especially concentrated on the forehead and cheeks, armpits, palms and soles of the feet. Lipofuscins are yellow-brown pigment granules made of fat-like residues. "Your doctor can run the necessary tests to rule out more serious causes of colored sweat, such as infection, jaundice, hematidrosis (bloody sweat) and poisoning," Hadley King, MD, New York City-based board-certified dermatologist, tells LIVESTRONG.com. Ned Tijdschr Geneeskd 2005; 149: 583 (in Dutch). PloS One 2018; 13: e0194346. Can J Microbiol 1983; 29: 96101. This is a rare dermatological disorder named infectious pseudochromhidrosis. These colors are due to a pigment produced in the sweat glands called lipofuscin. Such pigments have, in some cases, been the suggested or documented reason for coloured sweat. Pediatr Dermatol 2017; 34: e273e274. The condition can be treated by addressing potential triggers and/or prescribing antibiotic/antiseptic therapies. On the contrary, the patient reported daily attacks of cholinergic and dermographic urticaria, and hypohidrosis even after strenuous exercise and emotional stimuli. Coughing up blood or mucus. Harada K, Morohoshi T, Ikeda T, Shimada S. A patient with pseudochromhidrosis presenting with pink nails. Matarasso SL. Table I. However, this was less than was subjectively expected. The coloration may be barely noticeable and restricted to a few locations or more. Chromhidrosis, colored sweat. Mayo Clinic. Red sweat. All rights reserved. We hypothesized that the female patient was the source. Treatment options for the other two types of chromhidrosis are more promising, though: "Eccrine and pseudochromhidrosis may completely resolve once the cause is avoided or treated," Dr. Friedmann says. Corynebacterium spp. What About Chromhidrosis During Pregnancy? All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. This is a narrative review. Several techniques can, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Sports + Sweating Playbook V2: Running Cold Winter Workout Tips to Avoid Frostbite & Hypothermia SPORTS + SWEATING PLAYBOOK VOLUME 1: GEAR. Hyperhidrosis and anhidrosis. We report here a case of blue infectious pseudochromhidrosis caused by pigment-producing Bacillus cereus and the results of a literature review. 2. Role of melanin pigment in expression of Vibrio cholerae virulence factors. Hyperhidrosis (hi-pur-hi-DROE-sis) is excessive sweating that's not always related to heat or exercise. Valeru SP, Rompikuntal PK, Ishikawa T, Vaitkevicius K, Sjling A, Dolganoy N, et al. Dr. Hines has extensive experience in both common and rare conditions. The patient performed 15 min of indoor cycling and 15 min of treadmill running. Chromhidrosis is a rare condition characterized by the secretion of colored sweat. With this condition, your sweat is colorless, but when it interacts with something else on your skin bacteria, dye, chemicals from cleaning products, say a color change occurs. Mayo Clinic; 2021. If youre dealing with discolored sweat, schedule a visit with a dermatologist to get answers, rule out more serious conditions, and learn about treatment options. Am J Dermatopathol 2014; 36: 853855. Glasset B, Herbin S, Granier SA, Cavali L, Lafeuille E, Gurin C, et al. Leonard et al. Last medically reviewed on June 30, 2020, A range of issues can cause excessively sweaty palms. Clin Exp Dermatol 2004; 29: 548549. Normally, sweat is a clear, salty fluid, but for people with chromhidrosis, sweat may appear a vivid color such as: The shade of sweat can vary from person to person. Manual expression of the apocrine glands (where you carefully squeeze the glands to empty them, similar to how you'd pop a zit) can also offer relief, but the results only last up to a few days. Clin Auton Res 2015; 25: 153159. Table II sums up potential triggers of IPCH based on the literature review. Dermatol Monatschr 1972; 158: 18. These infections usually go away on their own. Pigment production is known to occur in Bacillus spp. As you produce sweat, the body cools down. Despite determining survival, pathogenicity, and virulence among microorganisms, we hypothesize that most pigments are mainly produced only under favourable conditions (of pH, temperature, hydration levels, metabolism rate, oxygen tension, growth substrates, etc.). Facial and axillary apocrine chromhidrosis. Due to its production of red colour, the presence of S. marcescens has often been mistaken for sweating of blood (hematohidrosis) (45). Heider SA, Peters-Wendisch P, Wendisch VF. Geelhoed-Duijvestijn PHLM. de Carolis P, Magnifico F, Pierangeli G, Rinaldi R, Galeotti M, Cevoli S, et al. Symptoms of the stomach flu typically last 1 to 3 days. N Engl J Med 2004; 351: 1666. are also found in the human microbiota and are, in general, innocuous (57, 58). The reported colours are yellow (5), red (4345), pink (46, 47), blue (2, 37, 38), green (36, 48), brown (39, 40), and black (44, 49, 50), most commonly localized on the face, neck, and palms (2). Table II. Fig. One area of the body that commonly becomes sweaty is the feet. Arch Dermatol 1992; 128: 275276. (9094). The first and senior author of this study saw the family of 3 approximately one year after presentation. II. Production by Bacillis subtilis of brown sporulation-associated pigments. Bromhidrosis can affect all age groups, races, and both sexes. To prevent overheating, the body promotes heat loss through evaporation. Chromhidrosis is quite rare with limited information about the percentage of people potentially affected. Chatfield CH, Cianciotto NP. C. glutamicum, C. michiganese, C. erythrogenes, C. fascians, and C. poinsettiae) (59, 95). PloS One 2015; 10: e0125428. It may be associated with hyperhidrosis. According to the International Hyperhidrosis Society, there's very little data on the condition, making it difficult to pinpoint exactly how many people are affected and whether there's a link between chromhidrosis and things like race, sex, occupation, geographic location or the weather. The virus can remain in your stool for up to two weeks or more after recovery. The pH of the skin surface and its impact on the barrier function. Kitamura S, Yanagi T, Imafuku K, Hata H, Shimizu H. Lipofuscin deposition causes the pigmentation of apocrine hidrocystoma. In order to assess for a potential underlying cause of B. cereus growth, she was scheduled for a second appointment. Blalock TW, Crowson AN, Danford B. He had no significant past medical history, underlying dermatoses, and did not use any medication. For evaluation of abnormal colored sweat or any other skin problem, contact our Attleboro, Massachusetts, office at 508-222-1976 or book online to schedule an appointment. Molecular evidence of person-to-person transmission of a pigmented strain of Corynebacterium striatum in intensive careunits. Polat M, Dikilitas M, Gozubuyukogullari A, Alli N. Apocrine chromhidrosis. This site complies with the HONcode standard for trustworthy health information: verify here. Miller SD, David-Bajar K. Images in clinical medicine. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Sweating is a way to regulate body temperature. Usually, chromhidrosis affects the apocrine glands, mainly on the face and underarms. This condition can further subdivide into apocrine chromhidrosis and eccrine chromhidrosis, and the treatment depends on type and cause. Indian J Dermatol Venereol Leprol 2014; 80: 579. Poh-Fitzpatrick MB. Yoshida R, Kobayashi S, Amagai M, Tanaka M. Brown palm pseudochromhidrosis. Here's what experts have managed to suss out about this puzzling skin condition so far: Apocrine, eccrine and pseudochromhidrosis each show up a bit differently and have their own underlying causes, Daniel Friedmann, MD, board-certified dermatologist at Westlake Dermatology in Austin, Texas, tells LIVESTRONG.com. Best food forward: Are algae the future of sustainable nutrition? Under favourable conditions such pigments can result in coloured sweat and/or atypical skin discolouration in patients. J Bacteriol 2010; 192: 30683077. Infections in those with higher risk may last longer. Khanna A, Khanna M, Aggarwal A. Serratia marcescens a rare opportunistic nosocomial pathogen and measures to limit its spread in hospitalized patients. In a person with apocrine chromhidrosis, lipofuscin causes discoloration as part of the natural process of creating sweat. Cilliers J, de Beer C. The case of the red lingerie chromhidrosis revisited. Please select your country where you live. J Am Acad Dermatol 2012; 67: e7475. Afra S, Makhdoumi A, Matin MM, Feizy J. Skin scrapings for dermatophyte PCR identification were taken from the female and male patient. It's thought the excess pigments from these internal and external sources make their way to the eccrine glands, where they're excreted along with perspiration, ultimately blending together to create colored sweat. Eccrine chromhidrosis is generalized discolouration that occurs secondary to ingestion of water-soluble drugs (2, 27, 28), dyes (2931), or due to breakdown products from eccrine glands (2, 3235).
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