Fox-fordyce disease

Diagnosis: Fox-fordyce disease

Dome-shaped, discrete papules are found in the axilla.

Clinical Presentation

Dome-shaped, discrete papules are found in the axilla.

Clinical History

Submitted by Alaa Saad. Originally posted September 28, 2010.

Treatment

See case discussion.

Differential Diagnosis

• Miliaria • Syringoma • Folliculitis • Contact dermatitis • Hidradenitis suppurativa

Key Learnings

• Apocrine miliaria — obstruction of apocrine gland duct • Intensely pruritic follicular papules in axillae, areolae, pubic area • >90% in women, onset after puberty • Worsened by heat and sweating • May improve with pregnancy and menopause

Tags: fox, fordyce, disease, alaa saad