Marks JG, Jr. Saff DM, Owens R, Kahn TA. July 30, 2022. Park JG, Prose NS, Garza R. Eccrine Chromhidrosis in an adolescent with sickle cell disease. Leonard et al. Can J Microbiol 1983; 29: 96101. that produced black pigment (with the proposed name C. nigricans) (97). The first and senior author of this study saw the family of 3 approximately one year after presentation. Bromhidrosis can affect all age groups, races, and both sexes. Oxidation of lipofuscin, as well as the increase in number of lipofuscin granules, are thought to cause the skin discolouration (4, 5). To our knowledge, no definition of this disorder has been proposed. Apocrine chromhidrosis affects the areas of the body that contain apocrine sweat glands. G20 with specific anticancer activity. J Bacteriol 2010; 192: 30683077. Know sweat. Chromhidrosis is a disorder of the sweat glands that manifests with colored sweat on the face, in the underarms, or on the areola of the breasts (the darker circle of skin around the nipples). Pigment production by Haemophilus parapertussis. Clin Dermatol 2015; 33: 483491. Chromhidrosis is a disorder of the sweat glandsthat manifests with colored sweat on the face, in the underarms, or on the areola of the breasts (the darker circle of skin around the nipples). Eccrine chromhidrosis may occur anywhere on the body, as eccrine glands are widely distributed, except in areas such as the lips. Int J Dermatol 2010; 49: 562564. Ann Dermatol 2015; 27: 482483. They're the sweat glands responsible for controlling body temperature, keeping skin hydrated and protecting the skin barrier. The pH of the skin surface and its impact on the barrier function. However, stress or embarrassment about the coloration can lead to depression and anxiety. A pigment called lipofuscin is commonly associated with chromhidrosis. I. Purification and identification of copper coproporphyrin III. Triwongwaranat D, Kasemsarn P, Boonchai W. Green pigmentation on the palms and soles. However, when it does develop, there are ways to improve its appearance, and there are some treatments that are safe during pregnancy. information and will only use or disclose that information as set forth in our notice of Yamada-Ankei T, Iwasaki H, Mori T. Production of copper coproporphyrin III by Bacillus cereus. triggered by topiramate (an antiepileptic drug) (38). Serratia marcescens red/pink IPCH (4547): S. marcescens is a Gram-negative, facultatively anaerobic, and saprophytic bacteria belonging to the Enterobacteriaceae family (60, 61). Infectious Pseudochromhidrosis: A Case Report and Literature Review, Copyright Acta Dermato-Venereologica. All swabs and skin scrapings were negative for fungi. Symptoms: This section is currently in development. This theory is strengthened by studies indicating that hypohidrosis could be an adverse effect of topiramate (38, 98100). Table II. Its wise to see a doctor about colored sweat. Lipofuscins are yellow-brown pigment granules made of fat-like residues. No skin discolouration was seen on their child. (9094). Skin examination with a Wood lamp revealed fluorescence on hands, feet, and hair (Fig. Retrospectively, her husband also recognized slight blue discolouration located on his right pectoral and deltoid region. Int J Dermatol 2017; 56: 496502. Is this an emergency? What About Chromhidrosis During Pregnancy? Chromhidrosis means discoloured sweat. Disclaimer. Chromhidrosis is a rare condition characterized by the secretion of colored sweat. J Am Acad Dermatol 1989; 21: 418420. J Pak Med Assoc 2013; 63: 11921194. The blue colour was present continuously, but was more obvious after physical activity. Pediatr Dermatol 2017; 34: e273e274. Weismann K, Poulsen AG, Moller AF, Kobayashi T. A man with a reddish stained wash cloth. Arcas J, Ferrer T, Roche MC, Martnez-Bermejo A, Lpez-Martn V. Hypohidrosis related to the administration of topiramate to children. It's. J Bacteriol 1970; 102: 871873. C. glutamicum, C. michiganese, C. erythrogenes, C. fascians, and C. poinsettiae) (59, 95). JAAD Case Rep 2017; 3: 273275. Khanna A, Khanna M, Aggarwal A. Serratia marcescens a rare opportunistic nosocomial pathogen and measures to limit its spread in hospitalized patients. 2018; doi:10.1016/j.jaad.2018.07.002. Labouche F. Pseudochromhidrose infectieuse: une tude de cas et une revue de la littrature. Coughing up blood or mucus. We hypothesized that the female patient was the source. Many of these pigments are extracellular, and thereby able to colour the skin surface and/or stain clothes (85). All bacteriological swabs of female patient (neck, upper arm, axilla, hand, and foot) had heavy growth of 2 strains of Bacillus cereus. Coloured sweat in two brothers: first report of familial chromhidrosis. Epidermolysis bullosa, a connective tissue disorder that causes fragile skin that blisters and tears easily. The pigments described comprise a heterogeneous group of carotenoids (terpenoid pigments) (6772), melanins (7377), alkaloids (78, 79), porphyrins (80, 81), siderophores (65), and flavins (82). Dermatol Online J 2014; 21. pii: 13030/qt73k8k695. Microorganisms may produce pigments to increase the likelihood of survival. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, International Hyperhidrosis Society (IHS), https://www.sweathelp.org/where-do-you-sweat/other-sweating/chromhidrosis.html, https://cdn.ymaws.com/www.aocd.org/resource/resmgr/jaocd/contents/volume30/30-05.pdf, https://adaa.org/understanding-anxiety/depression/symptoms, https://www.ncbi.nlm.nih.gov/books/NBK554395/. If sweat changes color, contact a doctor, who may rule out other causes before diagnosing chromhidrosis. Dermoscopy of the discoloured areas revealed diffuse superficial pigmentation and an unmodified skin pattern (as postulated by Pistone et al. Whether promethazine is the sole trigger is currently unknown. Mapara A TV, Khandelwal AK. Krishnaram AS, Bharathi S, Krishnan S. An interesting case of bisacodyl (dulcolax)-induced chromhidrosis. Dermatology 1999; 199: 149152. Only a few species, however, have been identified to produce carotenoid pigments (e.g. PloS One 2015; 10: e0125428. Journal of the American Academy of Dermatology. Hyperhidrosis. Wu JM, Mamelak AJ, Nussbaum R, McElgunn PS. Hyperhidrosis and anhidrosis. As stated in the methods section, hands and feet were the first regions to show blue-coloured sweat. is chromhidrosis contagious. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. It often begins with antiperspirants. information highlighted below and resubmit the form. If you are experiencing serious medical symptoms, please see the (As always, talk to your healthcare providerabout your individual situation to receive an accurate diagnosis before beginning any new treatment.). Primary hyperhidrosis is caused by faulty nerve signals that trigger eccrine sweat glands to become overactive. Park, H., & Glick, B. Red and black pseudochromhidrosis. Indian J Dermatol 2016; 61: 454457. Dermatol Surg 2005; 31: 963965. Liu GY, Nizet V. Color me bad: microbial pigments as virulence factors. Infant with chromhidrosis. The infectiousness of this disorder has been exemplified in other studies (36, 44) as well as by the current case report. No skin biopsy was performed. One area of the body that commonly becomes sweaty is the feet. The primary treatments for apocrine chromhidrosis are topical agents antiperspirant (such as Drysol), to temporarily plug the pores causing you trouble, and capsaicin cream, to deplete nerve cells of Substance P, "an important chemical that controls aprocrine gland secretion," Dr. Friedmann says. Prez Tato B, Zamora Martinez E, Snchez Albisua B, Prez Gonzlez YC, Polimn Olabarrieta I, Marinero Escobedo S, et al. Chromhidrosis is a rare condition with a characteristic presentation of the secretion of colored sweat. Normally, sweat is a clear, salty fluid, but for people with chromhidrosis, sweat may appear a vivid color such as: The shade of sweat can vary from person to person. Prodigiosin pigment of Serratia marcescens is associated with increased biomass production. [A woman with blue sweat]. Zahejsky J, Rovensky J. Sandmann G. Carotenoids of biotechnological importance. Heavy sweating can disrupt your day and cause social anxiety and embarrassment. National Library of Medicines list Iranian J Basic Med Sci 2017; 20: 13311338. Appl Environ Microbiol 2002; 68: 40954101. Turnbull PCB. 4th edn. There seems to be no association between chromhidrosis and sex, geographic location, season, or weather, though it may be more likely to develop in people of African descent. The secreted pyomelanin pigment of Legionella pneumophila confers ferric reductase activity. J Bacteriol 1953; 65: 509510. P. aeruginosa may produce multiple water-soluble pigments, most commonly pyocyanin (blue) and pyoverdine (dim muddy yellow with a green fluorescence) causing the distinguishing blue-green hue (36, 64, 65, 87). Shulka et al. We report here a case of blue infectious pseudochromhidrosis caused by pigment-producing Bacillus cereus and the results of a literature review. Chromhidrosis is a rare chronic condition that causes sweat to turn black, blue, green, yellow, or brown. Eccrine chromhidrosis is the production of coloured sweat from the eccrine sweat glands. Regular sweat is clear or slightly cloudy in color. Here's why: The culprit behind apocrine chromhidrosis is lipofuscin. Hill S, Duffill M, Lamont D, Rademaker M, Yung A. Pseudochromhidrosis: blue discolouration of the head and neck. J Clin Microbiol 1978; 8: 105107. These symptoms can include: There are a few possible causes of chromhidrosis, depending on the type. [2] It is caused by the deposition of lipofuscin in the sweat glands. The underlying skin was normal. All tests were normal, apart from a slightly increased alkaline phosphatase (ALP) of 122 U/l (reference range 35105 U/l). Pediatrics 2005; 115: e239241. Certain situations stimulate the apocrine glands and make this discoloration more likely to occur: In people with eccrine chromhidrosis, the discoloration usually happens because the person has ingested: Pseudochromhidrosis is more common, and it occurs when the skin comes into contact with: The IHS also point to other health issues that can cause sweat to change color: It is a good idea to see a doctor about colored sweat. Click here for an email preview. Sweating is a way to regulate body temperature. Can diet help improve depression symptoms? Although you typically feel better after a day or two, you're contagious for a few days after you recover. 2007; 48: 239241. Referred Bacillus spp. Apocrine chromhidrosis involving the areolae in a 15-year-old amateur figure skater. Wolters Kluwer; 2019. Cases of red, blue, green, yellow, pink, and black sweat have been reported. privacy practices. Canale-Parola E. A Red pigment produced by aerobic sporeforming bacteria. Topiramate inhibits carbonic anhydrase isoenzymes, which are also found in kidneys and eccrine glands. You can take steps to avoid contagious or infectious skin diseases. and Corynebacterium spp. II. Red pseudochromhidrosis of the neck. Primary focal hyperhidrosis. It is more common than chromhidrosis. This content does not have an English version. Rogolsky M. Genetic mapping of a locus which regulates the production of pigment associated with spores of Bacillus subtilis. While it doesnt threaten your health, seborrheic keratosis can have a major impact on your confidence and self-esteem. There's no specific treatment for hand-foot-and-mouth disease. If cultures are negative, and antibiotic treatment does not lead to remission of symptoms, an in-depth medical history and broad diagnostic approach are of importance in determining an alternative cause for chromhidrosis. Jaiswal AK, Ravikiran SP, Roy PK. Pseudochromhidrosis is sweat that becomes discolored after it has been secreted. Under favourable conditions such pigments can result in coloured sweat and/or atypical skin discolouration in patients. People sweat due to heat, stress, and a range of other causes. Ami T. Allscripts EPSi. Cawley EP, Hsu YT, Sturgill BC, Harman LE, Jr. Lipofuscin (wear and tear pigment) in human sweat glands. You can spread the common cold from a few days before your symptoms appear until all of the symptoms are gone. Dermatol Online J 2012; 18: 13. Fig. Chromhidrosis is a rare, chronic condition characterized by color in your sweat. Your body has two types of sweat glands, apocrine and eccrine. Asahina M, Poudel A, Hirano S. Sweating on the palm and sole: physiological and clinical relevance. Chang YC, Anderson N, Soeprono F. Bilateral facial pigmentation. Some people with chromhidrosis may report a feeling of warmth or a prickly sensation before the onset of colored sweat. American Academy of Dermatology Association. There is a problem with Mayo Clinic. Ditto for manual pressure (pressing down to express the glands) to improve the look of the affected area, with results lasting only 24 to 72 hours. Red facial pseudochromhidrosis. Read the reviews and add your own to help us continue to earn this wonderful recognition each year. Anyone who has chromhidrosis and experiences any emotional distress should let a healthcare provider know. Because apocrine glands don't start functioning until puberty (when hormonal stimulation begins), this form of chromhidrosis is typically more prominent when a person is younger, with symptoms becoming less severe as they age (as apocrine secretion tapers off). Once the cause has been confirmed, they can help you determine the best course of action: ghosting the culprit, treating it (with antibiotics, for example) or replacing it with another option (say, a different medication) that doesn't trigger colored sweat. Several factors can increase sweating in the, Butt sweat can happen in various situations, such as while exercising. To provide you with the most relevant and helpful information, and understand which Miller SD, David-Bajar K. Images in clinical medicine. Hurley HJ, Witkowski J. Dye clearance and eccrine sweat secretion in human skin. Magyarosy A, Ho JZ, Rapoport H, Dawson S, Hancock J, Keasling JD. Williamson NR, Simonsen HT, Ahmed RA, Goldet G, Slater H, Woodley L, et al. If you are a Mayo Clinic patient, this could Briggs JK. The genus, however, which currently has more than 110 validated species, constitutes a very heterogeneous group (59). Other possible reasons for the appearance of colored sweat include infection, blood in the sweat (hematohidrosis), excess bilirubin (an orange-yellow pigment formed in the liver), and/or poisoning. A 24-year-old woman presented with a 1-year history of an asymptomatic and odourless blue discolouration covering her hands, feet, and neck (Fig. In order to assess for a potential underlying cause of B. cereus growth, she was scheduled for a second appointment. J Bacteriol 1981; 147: 900913. Experts: GARD is not currently aware of a specialist directory for this condition. Banerjee D, Chatterjee S, Banerjee UC, Guha AK, Ray L. Green pigment from Bacillus cereus M(1)(16) (MTCC 5521): production parameters and antibacterial activity. Apocrine chromhidrosis occurs in the areas where . Articles in English, German, French, Dutch, and Danish were included. Those substances might include water-soluble dyes, heavy metals (like copper), excess food coloring or flavoring, as well as certain medications (rifampin, an antibiotic; quinines, an antimalarial; and levodopa, a dopamine precursor used to manage Parkinson's). Biosynthesis of the red antibiotic, prodigiosin, in Serratia: identification of a novel 2-methyl-3-n-amyl-pyrrole (MAP) assembly pathway, definition of the terminal condensing enzyme, and implications for undecylprodigiosin biosynthesis in Streptomyces. This bacterium also hydrolysed tyrosine. These colors are due to a pigment produced in the sweat glands called lipofuscin. Chromhidrosis is a harmless condition. Arch Dermatol 1992; 128: 275276. Chlorxanthomycin, a fluorescent, chlorinated, pentacyclic pyrene from a Bacillus sp. Balasubramanian S, Amperayani S, Dhanalakshmi K, Kumar R. Chromhidrosis colored sweat in a toddler. Another important observation in the current case report was that B. cereus colonized and produced pigments in both adults, but not in the newborn. Pediatr Dermatol 2018; 35: 448452. These colors are due to a pigment produced in the sweat glands called lipofuscin. If youre dealing with discolored sweat, schedule a visit with a dermatologist to get answers, rule out more serious conditions, and learn about treatment options. Smith CC, et al. Lipofuscins are yellow-brown pigment granules made of fat-like residues. The virus is shed in stool and vomit. Elsevier; 2021. https://www.clinicalkey.com. Chromhidrosis has several subtypes, which are described separately on DermNet. If we combine this information with your protected Machowinski A, Kramer HJ, Hort W, Mayser P. Pityriacitrin a potent UV filter produced by Malassezia furfur and its effect on human skin microflora. J Dermatol 2018; 45: 9194. Treatment approaches and outcomes associated with the use of abobotulinumtoxinA for the treatment of hyperhidrosis: A systematic review. Sweat When You Eat? If a person notices any coloration, they should consult a doctor. Based on the literature review, bacteriological tests should be the first diagnostic step when dealing with coloured sweat and/or atypical skin discolouration. True chromhidrosis is a rare condition characterized by the secretion of colored sweat from apocrine or eccrine sweat glands. Bacillus cereus: 2 isolates; one with a blue tint and one without. It's thought the excess pigments from these internal and external sources make their way to the eccrine glands, where they're excreted along with perspiration, ultimately blending together to create colored sweat. Treatment of facial chromhidrosis with botulinum toxin type A. J Am Acad Dermatol 2005; 52: 8991. Mayser P, Schafer U, Kramer HJ, Irlinger B, Steglich W. Pityriacitrin an ultraviolet-absorbing indole alkaloid from the yeast Malassezia furfur. He or she will likely want to take the necessary steps to rule out potentially more serious medical conditions before making a diagnosis of chromhidrosis. 1Department of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, 2Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, 3Department of Microbiology and Infection Control, Akershus University Hospital, 4Multidisciplinary Laboratory Medicine and Medical Biochemistry, Akershus University Hospital, and 5Akershus Dermatology Center, Lrenskog, Norway? Symptoms are usually worse during the first 2 to 3 days, and this is when you're most likely to spread the virus. The scope of this article was, therefore, to report another case of IPCH and to review the literature. Front Microbiol 2015; 6: 1463. Pigment production is known to occur in Bacillus spp. Pediatr Dermatol 1995; 12: 4850. Also called TB disease, this condition makes you sick and, in most cases, can spread to others. This form of colored sweat is seen when normal perspiration at the skin surface interacts with other compounds, such as dyes (from a new pair of jeans, perhaps), chemicals (a la sunless tanning sprays) or chromogenic bacteria on the skin (bacteria that produce pigments), Dr. Friedmann says. Keum DI, Hong H, Lee SH, Ahn SK. Key words: chromhidrosis; pseudochromhidrosis; infectious pseudochromhidrosis; coloured sweat; pigment. 2. The blue toilet seat phenomenon is still somewhat of a mystery, but signs point to a condition called chromhidrosis. Noroviruses are highly contagious. Indian J Dermatol Venereol Leprol 2012; 78: 756758. Chromhidrosis is harmless, but it can cause embarrassment or distress that may lead to depression or anxiety. Haematohidrosis. Apocrine chromhidrosis must be distinguished from pseudochromhidrosis and eccrine chromhidrosis. AMA Arch Derm Syphilol 1954; 69: 449471. Kitamura S, Yanagi T, Imafuku K, Hata H, Shimizu H. Lipofuscin deposition causes the pigmentation of apocrine hidrocystoma. This may be startling or alarming to anyone who isnt aware of the condition. This type of hyperhidrosis may cause sweating all over the body. Publish modules to the "offcanvas" position. Glasset B, Herbin S, Granier SA, Cavali L, Lafeuille E, Gurin C, et al. It usually affects the palms, soles, underarms and sometimes the face. Oliveira et al. Chromhidrosis is a harmless skin condition, but because colored sweat can be a symptom of something more serious, it's important to check in with your doctor or dermatologist for an official diagnosis. It occurs most often in babies and small children. is chromhidrosis contagious 03 Jun. Eccrine glands are distributed with varying density over almost the entire integument and excrete large amounts of sweat, containing mostly water and electrolytes (1, 3). There are three types of chromhidrosis: apocrine, eccrine, and pseudochromhidrosis. Chromhidrosis is a rare chronic condition that causes sweat to turn black, blue, green, yellow, or brown. Curr Genet 2015; 61: 309324. 9th ed. Christoffer Aam Ingvaldsen1,2, Truls Michael Leegaard2,3, Gunnhild Kravdal4 and Cato Mrk5. Chromhidrosis Necrobiosis lipoidica Contacting a doctor Summary The skin is the largest organ of the human body. . Both adults were treated with oral erythromycin, 250 mg 3 times a day, and topical clindamycin 2 times a day for 10 days. Accessed June 29, 2022. Sometimes excessive sweating is a sign of a serious condition. Infect Immun 2007; 75: 40624070. For evaluation of abnormal colored sweat or any other skin problem, contact our Attleboro, Massachusetts, office at 508-222-1976 or book online to schedule an appointment. The childs swabs grew no microorganisms other than normal microflora. Appl Biochem Biotechnol 2011; 164: 767779. Due to her reports of hypohidrosis, a sweat provocation test with following sweat pH measurements (Jenway pH meter, Model 3510, Cole-Parmer, Staffordshire, UK) were performed. Hyperhidrosis treatment usually helps. Shelley WB, Hurley HJ, Jr. Bromhidrosis, also known as osmidrosis or ozochrotia, is an unpleasant or offensive body odour due to any cause including poor hygiene, infections, diet or medications, or inherited metabolic disorders. Glaser DA, et al. There is no medical cause for this type of hyperhidrosis. Here's what experts have managed to suss out about this puzzling skin condition so far: Apocrine, eccrine and pseudochromhidrosis each show up a bit differently and have their own underlying causes, Daniel Friedmann, MD, board-certified dermatologist at Westlake Dermatology in Austin, Texas, tells LIVESTRONG.com. A case of generalized red sweating. The reported colours are yellow (5), red (4345), pink (46, 47), blue (2, 37, 38), green (36, 48), brown (39, 40), and black (44, 49, 50), most commonly localized on the face, neck, and palms (2). Bilateral facial apocrine chromhidrosis. The end result is usually nothing more than sticky skin and the occasional pit-stained tee but for a small percentage of people, sweating can also leave behind a blue toilet seat. Keeping the area clean and wearing different clothes can help resolve and. International Hyperhidrosis Societyhas received theGuideStar Exchange Seala leading symbol of transparency and accountability provided by GuideStar, the premier source of nonprofit information. Clin Exp Dermatol 2009; 34: e373374. As the female patient still had a slight discolouration on her feet, she continued same topical treatment for 7 days. Apocrine chromhidrosis over dorsum of foot: a case report. Fig. Get inside intel, research results, event invites! Anyone can get an upper respiratory infection, though they happen more frequently among children. Marshall JH, Wilmoth GJ. Valeru SP, Rompikuntal PK, Ishikawa T, Vaitkevicius K, Sjling A, Dolganoy N, et al. Uzoma M, Singh G, Kohen L. Green palmoplantar vesicular eruption in a patient with hyperbilirubinemia. The pigments causing the colour palette seen in this disorder appear to be of major importance for microorganisms. (c) Diffuse blue discolouration on the neck. Despite determining survival, pathogenicity, and virulence among microorganisms, we hypothesize that most pigments are mainly produced only under favourable conditions (of pH, temperature, hydration levels, metabolism rate, oxygen tension, growth substrates, etc.). Prevention Pseudochromhidrosis. Two glands produce sweat: eccrine and apocrine glands. J Clin Diagn Res 2013; 7: 243246. N Engl J Med 2004; 351: 1666. Its impossible to prevent melasma. Whole genome characterization of Bacillus cereus associated with specific disease manifestations. Here's What Your Body's Trying to Tell You. Takita Y, Ichimiya M, Yamaguchi M, Hamamoto Y, Muto M. A case of pseudochromhidrosis due to dihydroxyacetone. Pseudochromhidrosis is a condition where colourless, eccrine sweat becomes coloured by exogenous factors on the skin surface, such as chromogenic microorganisms (1, 2, 15, 3638) and chemical agents (3942). Chromhidrosis is a rare, chronic condition characterized by color in your sweat. With this condition, your sweat is colorless, but when it interacts with something else on your skin bacteria, dye, chemicals from cleaning products, say a color change occurs. During this exercise she produced some sweat. AskMayoExpert. Therapy with Botox injections is effective at reducing sweat. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Butt sweat: Why it happens and how to get rid of it, a general feeling of hopelessness, worthlessness, helplessness, guilt or pessimism, a persistent anxious, sad, or empty mood, a decrease in energy or increase in fatigue, a lack of interest in once enjoyable activities, trouble concentrating, making decisions, or remembering, stimuli such as anxiety, sexual arousal, or pain, certain medications, such as bisacodyl, a laxative, when it is coated in tartrazine, a yellow dye, applying a capsaicin cream once or twice a day, though this can cause a burning sensation. Eccrine chromhidrosis is generalized discolouration that occurs secondary to ingestion of water-soluble drugs (2, 27, 28), dyes (2931), or due to breakdown products from eccrine glands (2, 3235). Fluorescent material on dorsal aspects of the feet (especially interdigitally). No wheals were induced during exercise. face, axillae, anogenital area, and breast areolae) that excrete small amounts of oily sweat (1, 3). Talk to a dermatologist about treatment if seborrheic keratosis affects your appearance. Pseudochromhidrosis can also happen at any age and stem from a variety of causes all of which are external in nature. Current and prospective patients can also send a message to Dr. Hines and the team here on our website. Erdol S, Karakaya S, Saglam H, Tarim O. Chromhidrosis due to exogenous oxidizing heavy metals: Clinical and laboratory findings. 4). Botulinum toxin a in the treatment of chromhidrosis. Is the ketogenic diet right for autoimmune conditions? Griffith JR. Isolated areolar apocrine chromhidrosis. As such, some microorganisms invest heavily in pigment production, producing up to 30% of their dry weight as pigments (84). This tentative diagnosis has been strengthened by complete remission after antibacterial treatment, combining systemic and topical erythromycin in all cases. Disease-a-Month. Green foot. SPORTS + SWEATING PLAYBOOK VOLUME 2: RUNNING COLD. The condition is harmless, though, so pregnant people shouldn't worry about blue or purple toilet seats, although it's something you can certainly mention to your ob-gyn. The B. cereus found in the current case report colonizes human skin and the intestinal tract (54), yet infections in immunocompetent patients are rare (56). Search terms included chromhidrosis, pseudochromhidrosis, coloured sweat, lipofuscin, bacterial pigment, fungal pigment, and promethazine sweat. Full texts and reference lists were reviewed. Clin Auton Res 2015; 25: 153159. Clin Exp Dermatol 2004; 29: 548549. causes the sweat glands to secrete colored sweat. Some people may experience a warm, tingly sensation before the appearance of colored sweat. The B. cereus strains are referred to as B. cereus in the following text. In this article, learn more about what chromhidrosis is, what causes it, and what treatments are available. Many rare diseases have limited information. The patient also reported staining of her clothes, towels, furniture, and shower. In pseudochromhidrosis, a far more common disorder, sweat becomes colored after secretion from the sweat gland. pH measurements of sweat were considered normal (mean/minmax: 5.6/5.16.5). J Drugs Dermatol 2004; 3: 184186. A more common type of discolored sweat is called pseudochromhidrosis. Other causes of bronchitis aren't contagious. Conditions that might cause it include: Mayo Clinic does not endorse companies or products.