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Malignant Eccrine Acrospiroma

A Case Report

Ellen Wenzel Podiatric Medicine and Surgery Program, Forum Health/WRCS, Youngstown, OH. Drs. Wenzel and Kajgana are now in private practice, Ankle and Foot Physicians and Surgeons, PLLC, Vancouver, WA.

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Jaytinder Sandhu Podiatric Medicine and Surgery Program, Forum Health/WRCS, Youngstown, OH. Dr. Sandhu is now with the Mon Valley Fellowship, Pittsburgh, PA.

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Zarko Kajgana Podiatric Medicine and Surgery Program, Forum Health/WRCS, Youngstown, OH. Drs. Wenzel and Kajgana are now in private practice, Ankle and Foot Physicians and Surgeons, PLLC, Vancouver, WA.

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Vishnu Ganta Pathology Residency Program, Forum Health/WRCS, Youngstown, OH. Dr. Ganta is now with the University of Minnesota, Minneapolis, MN.

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Rudy Rouweyha Private Practice, Hubbard, OH; Podiatric Medicine and Surgery Program, Forum Health/WRCS, Youngstown, OH.

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The authors present a case of seemingly textbook digital osteomyelitis with draining ulceration. Per protocol, specimens were sent to pathology with the intent to verify and identify the offending organisms. Surprisingly, the textbook osteomyelitis returned with a pathological diagnosis of rare sweat gland tumor, malignant eccrine acropsiroma, prompting immediate systemic medical workup and treatment. This case emphasizes the importance of proper laboratory workup of all surgically removed specimens, despite having a “typical” presentation. (J Am Podiatr Med Assoc 102(3): 247–251, 2012)

Corresponding author: Ellen Wenzel, DPM, Ankle and Foot Physicians and Surgeons, PLLC, 406 SE 131st Ave, Ste 109, Vancouver, WA 98683. (E-mail: wenzeldpm@gmail.com)