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Lack of effect of the pulsed-dye laser in the treatment of multiple eccrine hidrocystomas: a report of two cases.

Eccrine hidrocystomas (EH) is a benign small cystic lesion that enlarges in the summer and may disappear spontaneously in cooler weather. Multiple eccrine hidrocystoma (MEH) characteristically appears as multiple, skin-colored to bluish, vesiculopapular lesions. MEH occurs predominantly in the periorbital and malar areas in middleaged and elderly women. EH must be differentiated from apocrine hidrocytoma (AH). AHs are usually larger and do not become more prominent in hot environments or after exercise. Histopathologically, EH differs from AH by the absence of decapitation secretion. Singh and colleagues reported that EH was rare to be larger than 10 mm, and on average they measured 4 mm in the largest dimension. Avoidance of hot environments and factors that increase perspiration may prevent worsening of the condition.