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October 2007

Goosefleshlike Lesions and Hypohidrosis—Quiz Case

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Arch Dermatol. 2007;143(10):1323-1328. doi:10.1001/archderm.143.10.1323-b

A 15-year-old otherwise healthy boy presented with a recent history of tiny bumps on his trunk and extremities that appeared during exercise and resolved within 60 minutes. He also noted decreased sweating in affected areas and increased sweating in uninvolved areas. He felt hot and occasionally light-headed during episodes. Physical examination initially revealed normal skin. After he had jogged in place, his skin had a gooseflesh appearance, with tiny, nonfollicular, flesh-colored papules covering the trunk and upper extremities (Figure 1). Hypohidrosis was noted in involved areas. Hair, nails, and teeth were normal. A biopsy of involved skin was performed, and the specimens were stained with hematoxylin-eosin (Figure 2 and Figure 3).

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