Fox Fordyce Disease

Relief for Persistent Itching in Sweat Gland Areas

Fox-Fordyce disease is a rare, chronic skin condition that causes intense itching and small bumps in areas where apocrine sweat glands are located—most commonly the underarms, around the nipples, and in the groin. Often misdiagnosed or mistaken for other skin disorders, Fox-Fordyce disease can be both physically uncomfortable and emotionally distressing.

At SOMA Skin & Laser, we offer compassionate care and advanced dermatologic treatments for this under-recognized condition. Our experienced providers understand the nuances of Fox-Fordyce disease and tailor treatment plans to reduce symptoms and improve quality of life.

What Is Fox-Fordyce Disease?

Fox-Fordyce disease, also known as apocrine miliaria, primarily affects women between puberty and menopause. It is believed to result from blockage and inflammation of the apocrine sweat glands, leading to itchy, skin-colored or slightly red papules in hair-bearing, sweat-prone areas.

Common symptoms include:

  • Small, dome-shaped bumps in the underarms, groin, or areolar area

  • Intense itching, often worsened by heat, sweating, or stress

  • Dryness or thickening of the skin in affected areas

  • Worsening during hormonal changes, such as menstruation or pregnancy

The condition tends to be chronic and relapsing, but it is not contagious or dangerous.

Diagnosis and Evaluation

Diagnosing Fox-Fordyce disease requires a skilled dermatologic evaluation. At SOMA Skin & Laser, we’ll carefully examine your skin, review your medical and symptom history, and rule out other conditions such as folliculitis, hidradenitis suppurativa, or eczema.

In some cases, a skin biopsy may be performed to confirm the diagnosis.

Treatment Options at SOMA Skin & Laser

Although Fox-Fordyce disease can be persistent, there are several strategies to relieve symptoms. At SOMA Skin & Laser, we offer individualized treatment plans that may include:

Topical Treatments

  • Topical retinoids to reduce follicular blockage

  • Topical corticosteroids or calcineurin inhibitors to decrease inflammation and itching

  • Topical clindamycin or other anti-inflammatory agents

Hormonal Therapy

  • Birth control pills or hormonal modulators may help in hormonally-sensitive cases.

Procedural Options

  • Laser hair removal to reduce hair follicle occlusion and apocrine gland activity

  • Botox® (botulinum toxin) injections to reduce sweating and associated irritation

  • Fractional laser therapy to resurface and soothe chronic areas

Lifestyle and Supportive Care

  • Avoiding heat and friction

  • Using gentle, non-comedogenic personal care products

  • Managing stress, which may worsen symptoms

Why Choose SOMA Skin & Laser?

Fox-Fordyce disease can be frustrating and is often overlooked. At SOMA Skin & Laser, we understand the sensitive nature of this condition and the impact it can have on daily life. Our team is committed to providing thoughtful, customized care in a respectful and supportive environment.

Schedule a Consultation

If you are experiencing persistent itching or bumps in sweat gland areas and suspect Fox-Fordyce disease, we’re here to help.

Call us at 973-763-7546
Visit us in Millburn, NJ or Paramus, NJ

**Results may vary patient to patient. There is no guarantee that any specific result can be achieved.
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