Clinical history and classic palmar hyperhidrosis

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Palmar hyperhidrosis: clinical, pathophysiological, diagnostic and therapeutic aspects*

Palmar hyperhidrosis affects up to 3% of the population and inflict significant impact on quality of life. It is characterized by chronic excessive sweating, not related to the necessity of heat loss. It evolves from a localized hyperactivity of the sympathetic autonomic system and can be triggered by stressful events. In this study, the authors discuss clinical findings, pathophysiological, di...

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Endoscopic thoracic sympathectomy for palmar hyperhidrosis.

Primary palmar hyperhidrosis is a disorder of excessive perspiration. In severe cases it can be socially and professionally debilitating and conservative therapy is usually unsatisfactory. Endoscopic thoracic sympathectomy (ETS) is considered an effective treatment for palmar hyperhidrosis. However, many different procedures have been used: simple resection of the sympathetic ganglion, transect...

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Single incision thoracoscopic sympathectomy for palmar and axillary hyperhidrosis

BACKGROUND Primary hyperhidrosis is characterized by excessive sweating beyond physiological needs. It is a common disease (incidence 2.8%) that causes intense discomfort for patients. In the last decade, advantages of Single-Incision Thoracoscopic Sympathectomy have become clear, particularly in decreasing morbidity of sympathectomy. PATIENTS AND METHODS From January 2010 to December 2012, 3...

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Botulinum toxin-A therapy for palmar and plantar hyperhidrosis.

In an open study regarding focal hyperhidrosis, we injected 45-65 mouse units of botulinum toxin A (Btx-A) per palm and 100 per sole intracutaneously to 28 hands and 6 feet. We observed patients for up to 10 months to evaluate the efficacy and tolerability of Btx-A for palmar and plantar hyperhidrosis. The mean sweat production significantly declined for both palmar and plantar hyperhidrosis qu...

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Alternative Surgical Methods in Patients with Recurrent Palmar Hyperhidrosis and Compensatory Hyperhidrosis

Recurrent hyperhidrosis after thoracic sympathectomy is an uncomfortable condition, and compensatory hyperhidrosis (CH) is one of the most troublesome side effects. Here, we describe two patients with recurrent palmar hyperhidrosis (PH) and CH over the whole body simultaneously. They were treated with bilateral T4 sympathetic clipping and reconstruction of the sympathetic nerve from a T5 to T8 ...

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ژورنال

عنوان ژورنال: Clinical Autonomic Research

سال: 2009

ISSN: 0959-9851,1619-1560

DOI: 10.1007/s10286-009-0015-4