A 25-year-old female came to our clinic with complaints of skin lesions in the left armpit that appeared spontaneously and progressively since puberty. Intense itching of the lesions was also present. No personal pathological history was reported. Physical examination showed numerous, firms, discrete, dome-shaped, skin colored, follicular papules over the left axillary area (Fig. 1). No regional lymphadenopathy was detected. Histopathological analysis was characterized by structures of spongiotic dermatitis with perivascular lymphocytic infiltrate. The clinical diagnosis was Fox Fordyce disease or apocrine miliaria. The patient was treated with topical corticosteroids and topical tretinoin 0.025% cream. After 3 weeks of treatment an improvement of the lesions was noted.
Patient written informed consent was obtained.
Ethical committeeComité de Investigación de la UDEM.
Registry number: 19052024-DER-CI.