Apocrine Chromhidrosis

Apocrine Chromhidrosis: Secretion of pigmented (yellow, green, black) sweat
 
Mechanism
  • Rich lipofuscin content of apocrine sweat
  • Chromogenic bacteria (eg. corynebacterium)
  • Colored garments
 
Wood lamp helps
 
Exclude alkaptunuria, coagulation disorder, bacterial and fungal cultures to rule out pseudo-chromhidrosis
 
Treatment
  • Capsaicin
  • Botulinum toxin