Idiopathic palmoplantar eccrine hidradenitis (IPPH) is a recently described
disorder characterized by painful erythematous plantar nodules and in thre
e cases, showed a typical neutrophilic infiltrate around and within the ecc
rine sweat apparatus. Five cases of IPPH on the soles of the feet in health
y children are reported. The disorder presented after intense physical acti
vity in four cases. The course was beni,on and self-limiting. Complete bed
rest for several days without any medical therapy led to alleviation of the
pain and disappearance of all the lesions.
Conclusion Idiopathic palmoplantar eccrine hidradenitis may be more common
than reported. Paediatricians should be aware of it in order to avoid unnec
essary diagnostic tests and treatments.