SciELO - Scientific Electronic Library Online

vol.91 número3Técnica EXIT como manejo de la vía aérea en masas gigantes congénitas de cuelloFuncionalidad de prótesis de mano impresa en 3D en adolescentes con amputación congénita parcial de mano: Una serie de casos índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Revista chilena de pediatría

versión impresa ISSN 0370-4106


SANCHEZ-BERNAL, Javier et al. Painful nodules on the soles in a pediatric patient: A diagnostic challenge. Rev. chil. pediatr. [online]. 2020, vol.91, n.3, pp.405-409. ISSN 0370-4106.


Idiopathic Palmoplantar Eccrine Hidradenitis (IPPH) is a rare neutrophilic derma tosis, with painful erythematous nodules of sudden onset in the plantar or palmoplantar region, in children without other underlying diseases.


To present a case that shows the main clinical and histological characteristics of this entity.

Clinical Case:

11-year-old girl with a 48-hours history of painful erythematous-violaceous nodules on the right foot plant associated with fever of up to 38.2 °C, with no history of interest except hyperhidrosis and intense exercising on previous days. Given the clinical suspicion of IPPH, a skin biopsy was performed, which showed inflammatory neutrophil infiltration around eccrine sweat glands and neutrophilic abscesses, confirming the diagnosis. Oral NSAIDs and rest were prescribed, with resolution of the lesions in 7 days.


This case demonstrates the most important aspects of this entity, in many cases underdiagnosed, since it can be confused with other pathologies that occur with painful acral nodules, but have different pathogenic and therapeutic implications. To properly identify the IPPH allows preventing an unnecessary alarm, both patients and their parents, as in dermatologists and pediatricians themselves.

Palabras clave : Hidradenitis; Foot Dermatoses/diagnosis; Eccrine Glands/patho logy; Child.

        · resumen en Español     · texto en Español | Inglés     · Español ( pdf ) | Inglés ( pdf )