BACKGROUND. Eccrine angiomatous hamartoma (EAH) is a rare benign lesio
n that mimics a capillary (''strawberry'') hemangioma (CH) in appearan
ce. EAH slowly grows and becomes symptomatic whereas CH typically regr
esses over time. OBJECTIVE. To increase awareness of this rare hamarto
ma and emphasize the need for histopathologic evaluation of similar ap
pearing lesions and thus prompt excision versus observation. METHODS.
Literature review and report of an illustrative case. RESULTS. Histopa
thologic confirmation of EAH in a lesion clinically indistinguishable
from CH and successful surgical extirpation. CONCLUSION. EAH is a rare
hamartomatous neoplasm clinically similar to CH in appearance. Histop
athologic examination of suspected lesions is recommended for delineat
ion as CH generally involutes spontaneously whereas EAH may require su
rgical excision due to pain and hyperhidrosis.