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February 1992

Autofluorescence of Clothing as an Adjunct in the Diagnosis of Apocrine Chromhidrosis

Author Affiliations

Department of Dermatology; Department of Pathology; Department of Medicine Cumberland Infirmary Carlisle, CA2 7HY, England

Arch Dermatol. 1992;128(2):275-276. doi:10.1001/archderm.1992.01680120151030

To the Editor.—  Chromhidrosis is a rare disorder of apocrine glands that may cause diagnostic difficulties. We describe a simple, rapid, noninvasive investigation that is a useful adjunct to diagnosis.

Report of a Case.—  A 33-year-old woman with insulin-dependent diabetes of 31 years' duration gave a 6-month history of green staining of clothing around the axillae and breasts. This was more apparent after exertion, was not associated with any symptoms or change in the appearance of her skin, was unrelated to the use of deodorants, and was always the same color irrespective of the color of any outer garments. She had previously documented mild symptomatic peripheral neuropathy of the feet, which had virtually resolved after a change in her insulin regimen, and was otherwise well and did not receive any other medication. There was no evidence of a generalized disorder of sweating. There were no abnormal cutaneous findings, and no