Table of Contents
Definition / general | Clinical features | Case reports | Treatment | Gross description | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Differential diagnosisCite this page: Pernick N. Eccrine angiomatous hamartoma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/skintumornonmelanocyticeah.html. Accessed December 4th, 2024.
Definition / general
- Rare benign hamartoma of eccrine glands and blood vessels that often occurs in the extremities (Ann Dermatol 2013;25:208)
Clinical features
- May be present at birth or develop during childhood (Dermatology Online Journal 2009;15:10)
- May be painful and be associated with hyperhidrosis, which can be helpful in diagnosis
- Typically slow growing with benign behavior
Case reports
- 3 month old child with painful nodule on finger (Case of the Week #324)
Treatment
- Simple excision is usually curative, but is reserved for painful and cosmetically disfiguring lesions (Ann Dermatol Venereol 1997;124:623, Pediatr Dermatol 2009;26:316)
Gross description
- 2.0 x 1.5 cm skin covered nodule; cut section showed a homogenous dark brown appearance (Case of the Week #324)
Gross images
Microscopic (histologic) description
- Increased number of eccrine glands in the superficial dermis, with blood vessels between and around the glands and ducts
- Vessels varied in size, but were predominantly small and lined by endothelial cells
- Other areas of dermis showed smooth muscle bundles, fat cells and focal areas of myxoid change (Case of the Week #324)
Microscopic (histologic) images
Differential diagnosis
- Angiokeratoma
- Eccrine nevus
- Glomus tumor
- Hemorrhage (Ann Dermatol 2011;23 Suppl 1:S84)
- Macular telangiectatic mastocytosis
- Nevus flammeus
- Smooth muscle hamartoma