The same authors reported that palmoplantar sweat gland activity is regulated in other neuroanatomical centres (most likely limbic structures) than eccrine sweat gland activity elsewhere on the integument. J Dermatol 2006; 33: 230231. Leonard et al. Apocrine chromhidrosis occurs in the areas where . We report here a case of blue infectious pseudochromhidrosis caused by pigment-producing Bacillus cereus and the results of a literature review. Rodriguez-Martin M, Rodriguez MS, Cabrera AN. Topical glycopoyrronium tosylate for the treatment of primary axillary hyperhidrosis: Results from the ATMOS-1 and ATMOS-2 phase 3 randomized controlled trials. signs artemis is reaching out Likes. II. The genus, however, which currently has more than 110 validated species, constitutes a very heterogeneous group (59). The B. cereus strains are referred to as B. cereus in the following text. If these don't help, you may need to try different medications and therapies. They can rule out more serious causes and recommend any necessary treatment. Red sweat. Its impossible to prevent melasma. Some of them are. Symptoms include sores in the mouth and a rash on the hands and feet. Mayser P, Schafer U, Kramer HJ, Irlinger B, Steglich W. Pityriacitrin an ultraviolet-absorbing indole alkaloid from the yeast Malassezia furfur. Chest pain, or pain with breathing or coughing. Although you typically feel better after a day or two, you're contagious for a few days after you recover. Aeruginosa derives from the Latin word for copper rust, referring to the characteristic, pseudomonal discolouration (65). However, when it does develop, there are ways to improve its appearance, and there are some treatments that are safe during pregnancy. 2017; doi: org/10.1016/j.disamonth.2017.03.003. Infectious Pseudochromhidrosis: A Case Report and Literature Review Three different conditions can result in chromhidrosis (2): Apocrine chromhidrosis is an intrinsic condition limited to areas with apocrine glands (e.g. Sometimes an underlying condition may be found and treated. Hill S, Duffill M, Lamont D, Rademaker M, Yung A. Pseudochromhidrosis: blue discolouration of the head and neck. There appears to be no link between chromhidrosis and gender, geographic location, the season, or the weather. Panagoulias GS, Basagiannis CS, Tentolouris N, Stavropoulou E, Karnesis L. Colored sweat caused by pseudochromhidrosis. Treatment approaches and outcomes associated with the use of abobotulinumtoxinA for the treatment of hyperhidrosis: A systematic review. "Finding and stopping the specific cause is paramount.". triggered by topiramate (an antiepileptic drug) (38). PloS One 2018; 13: e0194346. IPCH is a rare dermatological disorder characterized by a change in sweat colour on normal skin due to microorganisms pigments. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Balasubramanian S, Amperayani S, Dhanalakshmi K, Kumar R. Chromhidrosis colored sweat in a toddler. JAMA Dermatol 2013; 149: 13391340. Blalock TW, Crowson AN, Danford B. The type of hyperhidrosis that usually affects the hands, feet, underarms or face causes at least one episode a week when you're awake. This type of hyperhidrosis may cause sweating all over the body. No skin discolouration was seen on their child. Br J Dermatol 2000; 142: 12191220. Chromhidrosis is a rare condition with a characteristic presentation of the secretion of colored sweat and was first reported by Yonge in 1709. N Engl J Med 2004; 351: 1666. Another important observation in the current case report was that B. cereus colonized and produced pigments in both adults, but not in the newborn. However, studies do not mention the exact pigments causing blue and brown/black discolouration: B. cereus has been shown to produce both a green (84, 88) and a red pigment (85). is commonly associated with chromhidrosis. This site complies with the HONcode standard for trustworthy health information: verify here. There are three types of chromhidrosis: apocrine, eccrine, and pseudochromhidrosis. face, axillae, anogenital area, and breast areolae) that . This goes beyond the sweating from being in a hot environment, exercising, or feeling anxious or stressed. We hypothesized that the female patient was the source. Regulation of the biosynthesis of coproporphyrin III and its copper complex by oxygen and heavy metal ions. Hyperhidrosis and anhidrosis. Based on the literature review, bacteriological tests should be the first diagnostic step when dealing with coloured sweat and/or atypical skin discolouration. Accepted Oct 14, 2019; E-published Oct 14, 2019, Corr: Christoffer Ingvaldsen, Department of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Postboks 4950 Nydalen, NO-0424 Oslo, Norway. It's. This content does not have an English version. This content does not have an Arabic version. Researchers estimate that people who get infected with the coronavirus can spread it to others 2 to 3 days before symptoms start and are most contagious 1 to 2 days before they feel sick. 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. Pediatrics 2005; 115: e239241. Sometimes excessive sweating is a sign of a serious condition. Both adults were treated with oral erythromycin, 250 mg 3 times a day, and topical clindamycin 2 times a day for 10 days. Chlorxanthomycin, a fluorescent, chlorinated, pentacyclic pyrene from a Bacillus sp. As you produce sweat, the body cools down. If sweat changes color, contact a doctor, who may rule out other causes before diagnosing chromhidrosis. The infectiousness of this disorder has been exemplified in other studies (36, 44) as well as by the current case report. Cawley EP, Hsu YT, Sturgill BC, Harman LE, Jr. Lipofuscin (wear and tear pigment) in human sweat glands. Some people may benefit from therapy, counseling, medication for anxiety or depression, or a combination of these approaches. Highly regarded dermatologist and dermatopathologist Yvonne Hines, MD, and the team at Hines Dermatology Associates diagnose and treat a full range of conditions affecting the skin, including rare conditions such as chromhidrosis. What the Smell of Your Pimples Can Tell You About Your Skin Health, This Is Why Your Armpits Smell Even With Deodorant. Poh-Fitzpatrick MB. In terms of pathogenic Bacillus spp., B. anthracis is the only obligate pathogen (where cutaneous anthrax represents 95% of cases worldwide) (53). Alongside Hills et al., the current case report presents a patient who might be affected by blue Bacillus spp. As stated in the methods section, hands and feet were the first regions to show blue-coloured sweat. On the contrary, the patient reported daily attacks of cholinergic and dermographic urticaria, and hypohidrosis even after strenuous exercise and emotional stimuli. Clin Microbiol 2012; 50: 31523158. Pink eye (conjunctivitis) generally remains contagious as long as your child has tearing and matted eyes. You may sweat so much that it soaks through your clothes or drips off your hands. Oxidation of lipofuscin, as well as the increase in number of lipofuscin granules, are thought to cause the skin discolouration (4, 5). . National Library of Medicines list This bacterium also hydrolysed tyrosine. (blue colour), Corynebacterium spp. Chromhidrosis is a rare condition characterized by the secretion of colored sweat. Molecular evidence of person-to-person transmission of a pigmented strain of Corynebacterium striatum in intensive careunits. People with chromhidrosis may have more lipofuscin, or lipofuscin that is more oxidized, than others. The ability to quickly and accurately diagnose skin conditions means getting the right treatment as soon as possible. Chiriac A, Brzezinski P, Foia L, Marincu I. Chloronychia: green nail syndrome caused by Pseudomonas aeruginosa in elderly persons. Pseudochromhidrosis. Apocrine chromhidrosis | DermNet Saff DM, Owens R, Kahn TA. Apocrine secretion can be triggered by emotions (stress and anxiety), rubbing of apocrine-heavy areas (friction from clothes) and hot showers and baths, so doing what you can to reduce these triggers practicing mindfulness, wearing breathable clothing, taking lukewarm showers can be a solid first step. A novel red pigment from marine Arthrobacter sp. 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). Since bacteria are potential causative agents of pseudochromhidrosis; infectious pseudochromhidrosis (IPCH) is becoming an increasingly used term in literature (1, 15). 2003-2023 International Hyperhidrosis Society. They're fatty deposits of cholesterol caused. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 9th ed. In pseudochromhidrosis, a far more common disorder, sweat becomes colored after secretion from the sweat gland. Microbiol Immunol 2017; 61: 490496. Symptoms of the stomach flu typically last 1 to 3 days. Nair PA, Kota RK, Surti NK, Diwan NG, Gandhi SS. Articles in English, German, French, Dutch, and Danish were included. Two glands produce sweat: eccrine and apocrine glands. It can be alarming when these uneven, wart-like, waxy bumps suddenly show up on your skin, but they're not an infection, and they're not contagious. In the case of chromhidrosis caused by chemicals, treatment tends to involve reducing contact with dyes and heavy metals. The pigments causing the colour palette seen in this disorder appear to be of major importance for microorganisms. J Invest Dermatol 1961; 36: 259272. Int J Dermatol 2010; 49: 562564. You can spread the common cold from a few days before your symptoms appear until all of the symptoms are gone. Chang YC, Anderson N, Soeprono F. Bilateral facial pigmentation. While it isnt life-threatening, chromhidrosis often causes emotional distress. Her scalp, hair, anterior and dorsal trunk, palms, and feet were surprisingly dry. Corynebacterium nigricans sp. Geelhoed-Duijvestijn PHLM. 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. If your bronchitis is caused by a virus, you can be contagious for a few days to a week. Hyperhidrosis - Symptoms and causes - Mayo Clinic The blue colour was present continuously, but was more obvious after physical activity. Trends Microbiol 2009; 17: 406413. Most people will be contagious for up to 2 weeks. The same authors also described resolution of both the blue skin discolouration and the Bacillus spp. Best food forward: Are algae the future of sustainable nutrition? Arch Dermatol Res 2002; 294: 131134. The blue discolouration appeared 23 weeks after his wifes. Usually, chromhidrosis affects the apocrine glands, mainly on the face and underarms. C. glutamicum, C. michiganese, C. erythrogenes, C. fascians, and C. poinsettiae) (59, 95). Concerning the 4 bacteria described above, the pigments have been chemically extracted and characterized in 2 of them: Serratia marcescens and P. aeruginosa. Make a donation. Magyarosy A, Ho JZ, Rapoport H, Dawson S, Hancock J, Keasling JD. If topical products are irritating to your skin, another option is Botox injections, which block the nerves that stimulate the sweat glands, with dryness lasting anywhere from four to 12 months. Accessed June 28, 2022. overgrowth upon stopping ranitidine. Interestingly, this brown pigment production was enhanced when grown in the presence of tyrosine, which suggests that it is a melanin. Experts: GARD is not currently aware of a specialist directory for this condition. Skin Diseases: 15 Uncommon Skin Conditions - MedicineNet There is no cure for rosacea. causes the sweat glands to secrete colored sweat. Accessed June 16, 2022. You may sweat so much that it soaks through your clothes or drips off your hands. They are a result of evolutionary competition to overcome hosts, other microorganisms, and environmental challenges. Snider DE, Jr., Farer LS. to grow or to produce its pigment. The condition can be treated by addressing potential triggers and/or prescribing antibiotic/antiseptic therapies. Here's What Your Body's Trying to Tell You. Int J Dermatol 2017; 56: 496502. Chromhidrosis, colored sweat. Therapy with Botox injections is effective at reducing sweat. A brilliant case of erythrasma. Chromhidrosis causes the sweat glands to secrete colored sweat. Treatment of apocrine chromhidrosis with topical capsaicin. Moayedi A, Nowroozi J, Sepahy AA. In: Dermatology: An Illustrated Colour Text. Sweat When You Eat? Who gets bromhidrosis? To date, none of the previous studies have specifically reported a blue pigmentation as a result of colonization with B. cereus. Pseudochromhidrosis can also happen at any age and stem from a variety of causes all of which are external in nature. Two different isolates were cultured; a greyish culture and a greyish culture with a blue tint (Fig. American Academy of Dermatology Association. She had started daily 25 mg promethazine due to pruritus 6 months earlier. 3. J Am Acad Dermatol 2005; 53: 869871. Chromhidrosis can occur at nearly any age, but it usually becomes noticeable after puberty, when the apocrine glands begin secreting fluid.The International Hyperhidrosis Society (IHS) note that information about this condition is scarce because it is so rare. Keum DI, Hong H, Lee SH, Ahn SK. Eccrine chromhidrosis. MNT is the registered trade mark of Healthline Media. Retrospectively, her husband also recognized slight blue discolouration located on his right pectoral and deltoid region. 4. include protected health information. affecting the skin, including rare conditions such as chromhidrosis. Current and prospective patients can also send a message to Dr. Hines and the team here on our website. J Am Acad Dermatol 1989; 21: 418420. J Cosmet Dermatol 2010; 9: 318320. pH measurements of sweat were considered normal (mean/minmax: 5.6/5.16.5). 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. 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. These colors are due to a pigment produced in the sweat glands called lipofuscin. This is a narrative review. Eccrine chromhidrosis | DermNet Chromhidrosis is a rare condition with a characteristic presentation of the secretion of colored sweat. Autofluorescence of clothing as an adjunct in the diagnosis of apocrine chromhidrosis. You can get norovirus by accidentally getting tiny particles of feces (poop) or vomit from an infected person in your mouth. It can occur weeks or years after infection with the TB bacteria. 2021; doi: org/10.1016/j.jaad.2020.07.123. However, no matter the type or types that are causing your symptoms, working with a skin specialist can help get your symptoms under control and improve your skin. 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). eat food or drink liquids that are contaminated with norovirus, touch surfaces or objects contaminated with norovirus and then put your fingers in your mouth, or. (b) Diffuse blue discolouration with an ashen hue on dorsal side of the foot. Infect Immun 2007; 75: 40624070. Kalkan G, Duygu F, Bas Y. Greenish-blue staining of underclothing due to Pseudomonas aeruginosa infection of intertriginous dermatitis. Serratia marcescens red/pink IPCH (4547): S. marcescens is a Gram-negative, facultatively anaerobic, and saprophytic bacteria belonging to the Enterobacteriaceae family (60, 61). This tentative diagnosis has been strengthened by complete remission after antibacterial treatment, combining systemic and topical erythromycin in all cases. Pigment production is known to occur in Bacillus spp. Clin Exp Dermatol 2004; 29: 548549. Accessed June 29, 2022. Regular sweat is clear or slightly cloudy in color, but people with chromhidrosis notice a colored sweat. However, patients with the condition report stress and embarrassment, as well as anxiety and depression related to their symptoms. 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. Apocrine chromhidrosis over dorsum of foot: a case report. A literature search of PubMed, Cochrane Library, and Google Scholar was performed in the period November 2018 to January 2019. Sandmann G. Carotenoids of biotechnological importance. are also found in the human microbiota and are, in general, innocuous (57, 58). The main symptom of hyperhidrosis is heavy sweating. Prevention Transient hypohidrosis induced by topiramate. Can diet help improve depression symptoms? A more common type of discolored sweat is called pseudochromhidrosis. Mycoses 2006; 49: 388392. Pseudochromhidrosis results from contact between sweat and dyes, chemicals, or chromogenic bacteria on the skin. An accurate diagnosis is the first step to getting this rare form of psoriasis under control and getting relief. Chromhidrosis is a rare chronic condition that causes sweat to turn black, blue, green, yellow, or brown. Turnbull PCB. Manual expression of the apocrine glands (where you carefully squeeze the glands to empty them, similar to how you'd pop a zit) can also offer relief, but the results only last up to a few days. J Clin Microbiol 1994; 32: 164169. Thami GP, Kanwar AJ. They recorded a slightly decreased pH on the surface of the skin of their patient and proposed that this could be a result of the treatment provided. All rights reserved. Histologically, chromhidrosis is notable for glandular structures with decapitation secretion indicating ectopic apocrine glands in the dermis, and the pr Arch Microbiol 2018; 200: 989999. Such pigments have, in some cases, been the suggested or documented reason for coloured sweat. face, axillae, anogenital area, and breast areolae) that excrete small amounts of oily sweat (1, 3). Microorganisms may produce pigments to increase the likelihood of survival. Effect of fetal and adult bovine serum on pyocyanin production in Pseudomonas aeruginosa isolated from clinical and soil samples. is chromhidrosis contagious. Park, H., & Glick, B. In some cases, ingesting of certain substances causes discoloration of sweat. Cutis 2010; 86: 305308. Cox NH, Popple AW, Large DM. Additional investigations were performed, including blood and urine analyses. Mol Microbiol 2005; 56: 971989. PCRs for dermatophytes were negative. Red eccrine chromhidrosis with review of literature. They may then run or request tests to rule out other causes of the discoloration. Children should stay home from school or child care for at least 48 hours after the last time they . An ashen hue was observed primarily on hands, feet, and neck (female patient), and right pectoral region (male patient). Chromhidrosis is harmless, but it can cause embarrassment or distress that may lead to depression or anxiety. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Signs and symptoms of active TB include: Coughing for three or more weeks. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. This hypothesis is strengthened by the observations found in some of the IPCH case reports. Burkovski A. Corynebacteria: genomics and molecular biology. It usually affects the palms, soles, underarms and sometimes the face. Can poor sleep impact your weight loss goals? Mayo Clinic is a not-for-profit organization. Bromhidrosis: Causes, Treatment, and More - Healthline Derivatives of the skin. Others may have such mild sweat discoloration that they do not even notice it. Initially, 2 blood samples were performed at her general physicians office with a 1-month interval. It's only when sweat encounters bacteria on the skin that a smell can emerge. Certain activities such as hot showers and friction against the skin increase the likelihood of discolored sweat in people with chromhidrosis. It can run in families. Marshall JH, Wilmoth GJ. At the time of presentation, the patient was approximately 7 months pregnant with her first child. Urine, stool, saliva, and tears were normal coloured. Correlation between pigment production and amino acid requirements in Bacillus subtilis. 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. Bilateral facial apocrine chromhidrosis. One area of the body that commonly becomes sweaty is the feet. You can take steps to avoid contagious or infectious skin diseases. Bull Soc Fr Dermatol Syphiligr 1965; 72: 444447. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. Insight of genus corynebacterium: ascertaining the role of pathogenic and non-pathogenic species. Treatment options for the other two types of chromhidrosis are more promising, though: "Eccrine and pseudochromhidrosis may completely resolve once the cause is avoided or treated," Dr. Friedmann says. Chromhidrosis is a rare, chronic condition characterized by color in your sweat. Hurley HJ, Witkowski J. Dye clearance and eccrine sweat secretion in human skin. Schmaler-Ripcke J, Sugareva V, Gebhardt P, Winkler R, Kniemeyer O, Heinekamp T, et al. Ami T. Allscripts EPSi. reported a novel Corynebacterium spp. Sweat is your bodys natural response to regulate temperature. Either way, because the condition is chronic, treatment will need to be maintained for continuous results. The ubiquitous bacteria have a predilection for starches and are rarely found in bacteriological skin cultures. The latter approach can stop the sweat from happening for up to 3 days at a time. Clin Exp Dermatol 2009; 34: e373374. https://www.sweathelp.org. reported blue skin discolouration due to Bacillus spp. Fluorescent material on dorsal aspects of the feet (especially interdigitally). Bilgin I, Kelekci KH, Catal S, Calli A. Late-onset apocrine chromhidrosis. The nervous system automatically triggers sweat glands when your body temperature rises. 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). Other than. Chromhidrosis Necrobiosis lipoidica Contacting a doctor Summary The skin is the largest organ of the human body. 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. To diagnose this issue, a doctor performs a physical examination and asks about when and where the colored sweat appears. 2). It may be associated with hyperhidrosis. Wu JM, Mamelak AJ, Nussbaum R, McElgunn PS. Apocrine chromhidrosis results in only yellow, green, blue, black and brown sweat. J Am Acad Dermatol 1981; 4: 481482. In: Triage Protocols for Aging Adults. (9094). Localized chromidrosis: a survey. IPCH following administration of an antihistamine. Indian J Dermatol Venereol Leprol 2014; 80: 579. The samples were cultivated aerobically, anaerobically, and for fungi. The isolates were then subject to matrix-assisted laser desorption ionisation time of flight mass spectrometry (MALDI-TOF MS, Bruker Daltonik GmbH, Bremen, Germany) and 16S rRNA gene sequencing with primers based on MicroSEC 500 16S rDNA bacterial sequencing kit (Life Technologies, Paisley, UK). The underlying skin was normal. Asahina M, Poudel A, Hirano S. Sweating on the palm and sole: physiological and clinical relevance. 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. International Hyperhidrosis Societyhas received theGuideStar Exchange Seala leading symbol of transparency and accountability provided by GuideStar, the premier source of nonprofit information. That means the norovirus infection can easily spread to others. You can learn more about how we ensure our content is accurate and current by reading our. Norovirus infection - Symptoms and causes - Mayo Clinic Interestingly, our patients unspecified hypohidrotic condition could, in fact, have been intensified by the use of promethazine: Zahejsky & Rovensky reported a significant reduction in palmar sweating after administration of promethazine in their clinical study (101). Heider SA, Peters-Wendisch P, Wendisch VF. List of rare skin diseases: Pictures, symptoms, and treatments Pediatr Dermatol 1995; 12: 4850. Accessed June 29, 2022. Additionally, stress or physical activity may trigger colored sweat in people with chromhidrosis. You may prevent contagious skin diseases or reduce their symptoms if you: Avoid sharing utensils, personal items or cosmetics. Fig. Weismann K, Poulsen AG, Moller AF, Kobayashi T. A man with a reddish stained wash cloth. The color may only affect sweat in certain areas or sweat all over the body. Wilkes, D., & Nagalli, S. (2020). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Here's What Your Body's Trying to Tell You. They're the glands that secrete a milky, odorless substance when you're stressed, and when that combines with bacteria on your skin, it causes body odor, according to the Mayo Clinic. Her symptoms resemble acquired idiopathic anhidrosis; however, this was not investigated further. Read the reviews and add your own to help us continue to earn this wonderful recognition each year. 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. Many of these pigments are extracellular, and thereby able to colour the skin surface and/or stain clothes (85). Wang A, Wysong A, Nord KM, Egbert BM, Kosek J. Chromhidrosis: a rare diagnosis requiring clinicopathologic correlation. International Hyperhidrosis Society. Hyperhidrosis. Schmid-Wendtner MH, Korting HC. Journal of the American Academy of Dermatology. Oliveira A, Oliveira LC, Aburjaile F, Benevides L, Tiwari S, Jamal SB, et al. Med Mal Infect 2015; 45: 436440. If you're dealing with discolored sweat, schedule a visit with a dermatologist to get answers, rule out more serious conditions, and learn about treatment options. The defining symptom of chromhidrosis is the production of colored sweat. We report here a case of blue infectious pseudochromhidrosis caused by the bacteria Bacillus cereus and a literature review. Hand-foot-and-mouth disease is most commonly caused by a coxsackievirus. Sweating a different color -- like yellow, blue, green, or black -- is a different condition called chromhidrosis. Alcohol wipes from (a) hands and (b) neck easily removed the discolouration and revealed its blue colour. Blue Toilet Seat? Why Your Toilet Seat Is Turning Blue Noroviruses can stay on surfaces and objects for days or weeks. 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). Leonard RB, Nowowiejski DJ, Warren JJ, Finn DJ, Coyle MB. Dr. Hines has extensive experience in both common and rare conditions. Production of pyomelanin, a second type of melanin, via the tyrosine degradation pathway in Aspergillus fumigatus.

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