Votre enfant présente une chromhydrose, il s'agit d'une affection rare et sans gravité de cause inconnue. Il faut dans un premier temps essayer des antiperspirants du type chlorure d'aluminium (P.M crème par exemple). En cas d'échec votre dermatologue pourrait proposer l'utilisation de capsaicine ou de toxine botulique qui s'est montrée utile dans cette indication.
J Cosmet Dermatol. 2010 Dec;9(4):318-20.
Axillary chromhidrosis: report of a case, review of the literature and treatment considerations.
Beer K, Oakley H.
Abstract
Chromhidrosis is a rare but troubling syndrome whose cardinal feature is the appearance of colored sweat. In some instances, this may be associated with the use of drugs or ingested materials [Dermatology vol. 199 (1999) 149-52] but in others it is idiopathic. Irrespective of the etiology, the appearance of colored sweat can be profoundly psychologically disturbing. We report the case of a woman who had been affected by chromhidrosis for several years. Treatment with botulinum toxin type A resulted in a cessation of the problem with profoundly improved quality of life for this individual. This is significant because it is the first case of isolated axillary chromhidrosis treated with botulinum toxin A and, as with reports of facial chromhidrosis [Journal of the American Academy of Dermatology vol. 52 (2005) 89-91], resolution of the symptoms supports the eccrine etiology of this entity.
© 2010 Wiley Periodicals, Inc.
PMID: 21122052 [PubMed - in process]
Dermatol Surg. 2005 Aug;31(8 Pt 1):963-5.
Botulinum toxin a in the treatment of chromhidrosis.
Wu JM, Mamelak AJ, Nussbaum R, McElgunn PS.
School of Medicine, University of Sheffield, UK.
Abstract
BACKGROUND: Chromhidrosis is an uncommon disorder characterized by secretion of colored sweat by apocrine glands, typically localized to the face or axilla. The current treatments available for chromhidrosis are time consuming and frequently ineffective.
OBJECTIVE: Our purpose is to demonstrate a novel approach to the treatment of apocrine chromhidrosis.
METHODS: We report a case of apocrine chromhidrosis successfully treated with botulinum toxin A (BTX-A; Botox).
RESULTS: BTX-A therapy successfully controlled facial chromhidrosis, and the effects were visible at 19 weeks post-treatment. The therapeutic benefits may be attributed to its inhibitory effects on cholinergic stimulation, adrenergic stimulation, and substance P release, although further studies are necessary to elucidate the precise mechanism of action.
CONCLUSION: This report demonstrates a new therapeutic approach to patients suffering from chromhidrosis.
PMID: 16042945 [PubMed - indexed for MEDLINE]
J Am Acad Dermatol. 1989 Aug;21(2 Pt 2):418-20.
Treatment of apocrine chromhidrosis with topical capsaicin.
Marks JG Jr.
Division of Dermatology, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey 17033.
Abstract
A 30-year-old white woman with facial apocrine chromhidrosis was treated successfully with topical capsaicin once or twice daily. Paired comparison of treated versus untreated sides and active drug-treated versus vehicle-treated sides showed suppression of the chromhidrosis only when capsaicin was used. After treatment was discontinued, the chromhidrosis returned within 2 days.
PMID: 2474015 [PubMed - indexed for MEDLINE]
L'information ou le conseil en ligne ne sont pas des consultations médicales et ne doivent exonérer ni le médecin ni le patient d'une véritable consultation avec une anamnèse et un examen clinique qui seuls peuvent permettre d'aboutir à un diagnostic et à une prescription.
Dr Philippe Abimelec, Dermatologue
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