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Tedbirt B, Carvalho P, Boulard C, Tetart F, Deschamps-Huvier A, Chenal P, Courville P, Cellier L, Joly P. Reactive Eccrine Syringofibroadenomatosis Associated With Venous Leg Ulcers: A Case Report and Literature Review. THE INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS 2023; 22:135-138. [PMID: 33076722 DOI: 10.1177/1534734620966900] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Eccrine syringofibroadenoma (ESFA) is a rare adnexal tumor deriving from the acrosyringeal portion of the eccrine duct. Five subtypes of ESFA were described including a reactive form. Reactive ESFAs are associated with inflammatory and neoplastic dermatoses. In this article, we report the case of a 90-year-old woman presenting with 3 leg ulcers evolving for 2 years surrounded by large verrucous and eczematous lesions. Multiple skin biopsies showed anastomosing epithelial cords connected to the epidermis consistent with ESFA. We identified 8 cases of ESFA associated with chronic leg ulcers in the literature and reviewed their main clinical and histological features.
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Affiliation(s)
- Billal Tedbirt
- Rouen University Hospital, Normandie University, Rouen, France
| | | | | | - Florence Tetart
- Rouen University Hospital, Normandie University, Rouen, France
| | | | | | | | | | - Pascal Joly
- Rouen University Hospital, Normandie University, Rouen, France
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Darrigade Fleury M, Frouin E, Hainaut E, Boutin D. Eccrine syringofibroadenomatosis with calcifications of the sweat ducts. Ann Dermatol Venereol 2022; 149:202-203. [PMID: 35803764 DOI: 10.1016/j.annder.2022.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 07/19/2021] [Accepted: 01/04/2022] [Indexed: 11/15/2022]
Affiliation(s)
- M Darrigade Fleury
- Department of dermatology, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.
| | - E Frouin
- Department of pathology, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - E Hainaut
- Department of dermatology, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - D Boutin
- Department of dermatology, centre hospitalier universitaire de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
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Igari S, Ito T, Ishikawa M, Hiraiwa T, Yamamoto T. Secondary Amyloid Deposition in Pigmented Poroma. ACTAS DERMO-SIFILIOGRAFICAS 2021; 112:S1578-2190(21)00187-6. [PMID: 34147678 DOI: 10.1016/j.adengl.2021.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- S Igari
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Ito
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - M Ishikawa
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Hiraiwa
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Yamamoto
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan.
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Khan HA, Kumarasinghe P, Wood B. Late-onset eccrine syringofibroadenoma of the feet in a patient with hypohidrotic ectodermal dysplasia. Australas J Dermatol 2021; 62:383-385. [PMID: 34097755 DOI: 10.1111/ajd.13604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 01/31/2021] [Accepted: 03/07/2021] [Indexed: 12/01/2022]
Abstract
A 56-year-old woman with hypohidrotic ectodermal dysplasia presented with a 10-year history of persisting wart-like skin lesions on her feet. Biopsy revealed changes of eccrine syringofibroadenoma. These lesions are rare, with only nine case reports describing an association with ectodermal dysplasia of hidrotic type (Clouston and Schopf's syndrome). To our knowledge, this is the first case of eccrine syringofibroadenoma developing in the hypohidrotic/anhidrotic subtype of ectodermal dysplasia.
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Affiliation(s)
- Hina Ali Khan
- Hollywood Private Hospital, Nedlands, Western Australia, Australia
| | | | - Benjamin Wood
- Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
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Igari S, Ito T, Ishikawa M, Hiraiwa T, Yamamoto T. Secondary Amyloid Deposition in Pigmented Poroma. ACTAS DERMO-SIFILIOGRAFICAS 2021; 112:S0001-7310(21)00172-1. [PMID: 33964220 DOI: 10.1016/j.ad.2020.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 12/20/2019] [Accepted: 01/26/2020] [Indexed: 11/16/2022] Open
Affiliation(s)
- S Igari
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Ito
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - M Ishikawa
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Hiraiwa
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan
| | - T Yamamoto
- Department of Dermatology, Fukushima Medical University, Fukushima, Japan.
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Syringocystadenocarcinoma Papilliferum In Situ-Like Changes in Extramammary Paget Disease: A Report of 11 Cases. Am J Dermatopathol 2017; 38:882-886. [PMID: 26863065 DOI: 10.1097/dad.0000000000000554] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The authors report 11 cases of extramammary Paget disease (EMPD), all of which also demonstrated a combination of histological changes highly reminiscent of syringocystadenocarcinoma papilliferum in situ. In addition to the classical features of EMPD, characterized by the intraepidermal spread of individually dispersed neoplastic cells with ample cytoplasm, many of which contained mucin, there were areas of acanthosis with the substitution of spinous layer keratinocytes by neoplastic cells, whereas the native basal cell layer was intact. In addition to acanthosis (and sometimes papillomatosis), the dermal papillae showed a prominent infiltrate of plasma cells, completing the resemblance to syringocystadenocarcinoma papilliferum in situ; this similarity was further enhanced in 2 cases, which showed conspicuous gland formation. One additional case showed multifocal dermal proliferations compatible with eccrine syringofibroadenoma (syringofibroadenomatous hyperplasia). The changes described herein seem to be relatively rare in EMPD, and they can represent a diagnostic pitfall, as evidenced by 2 cases that were originally misinterpreted as syringocystadenocarcinoma papilliferum in situ. Clinically, these microscopic changes sometimes corresponded to nodular lesions, which were specifically noted to have a papillated erosive surface.
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Ko EJ, Park KY, Kwon HJ, Shim JH, Seo SJ. Eccrine Syringofibroadenoma in a Patient with Long-Standing Exfoliative Dermatitis. Ann Dermatol 2016; 28:765-768. [PMID: 27904279 PMCID: PMC5125961 DOI: 10.5021/ad.2016.28.6.765] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 06/18/2016] [Indexed: 11/24/2022] Open
Abstract
Eccrine syringofibroadenoma (ESFA) is a rare benign cutaneous adnexal lesion characterized by a hyperplastic epithelium and eccrine ductal differentiation. In the present case, a 73-year-old Korean male presented with symmetrical numerous widespread, pinkish nodules with a cobblestone appearance over both legs for 2 years. He had a history of generalized erythematous scaly patches over his entire body for 20 years. On histopathologic findings, diagnosis of ESFA was confirmed. Our unusual and interesting case emphasizes the first report described one case in which multiple cobblestone like ESFAs arising from long-standing exfoliative dermatitis.
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Affiliation(s)
- Eun Jung Ko
- Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
| | - Kui Young Park
- Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
| | - Hyun Jung Kwon
- Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
| | - Joo Hyun Shim
- Department of Dermatology, National Police Hospital, Seoul, Korea
| | - Seong Jun Seo
- Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
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Sirikham T, Rojhirunsakool S, Vachiramon V. Reactive Eccrine Syringofibroadenoma Associated with Neuropathy, Venous Stasis, and Diabetic Foot Ulcer. Case Rep Dermatol 2016; 8:124-9. [PMID: 27462220 PMCID: PMC4943312 DOI: 10.1159/000446469] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 04/26/2016] [Indexed: 11/25/2022] Open
Abstract
Eccrine syringofibroadenoma (ESFA) is an uncommon benign adnexal neoplasm which derives from cells of the acrosyringium of eccrine sweat glands. The clinical appearance is nonspecific but the histological features are typical. Five clinical subtypes of ESFA exist: (1) solitary ESFA; (2) multiple ESFA associated with ectodermal dysplasia; (3) multiple ESFA without cutaneous features; (4) unilateral linear ESFA (nevoid), and (5) reactive ESFA associated with inflammatory or neoplastic dermatoses. We report the case of a 42-year-old man with long-standing diabetes and neuropathy, presenting with a 4-year history of asymptomatic erythematous plaques on a background of brown hyperpigmentation on the left foot. The clinical presentation and histopathological findings are compatible with reactive ESFA.
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Affiliation(s)
- Thirawut Sirikham
- Division of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Salinee Rojhirunsakool
- Division of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Vasanop Vachiramon
- Division of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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