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March 1991

Multiple Eccrine Hidrocystomas: A Nonsurgical Treatment

Author Affiliations

Department of Dermatology Oklahoma University 619 NE 13th St Oklahoma City, OK 73104

Arch Dermatol. 1991;127(3):422-423. doi:10.1001/archderm.1991.01680030148025

To the Editor.—  Eccrine hidrocystomas are a not uncommon entity in a dermatology office. Single lesions generally require simple surgical excision for cure. Multiple lesions cause a treatment problem due to their numbers and location. We present a patient with multiple eccrine hidrocystomas and an effective nonsurgical therapy.

Report of a Case.—  A 59-year-old white man presented in October 1989 with approximately 15 translusent, round, 2- to 3-mm nodules in each periorbital area. A biopsy specimen from the area was consistent with an eccrine hidrocystoma (Fig 1).These nodules were quite prominent in appearance for the patient, creating a notable cosmetic problem (Fig 2). With the onset of the cool weather of winter, the lesions receded considerably. However, by the next April, they returned in the same number and location.Surgery was deemed unfeasible. Treatment with a mild topical steroid gave no response. We then gave him 0.01% scopolamine in

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