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2012, Number 4

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Rev Med MD 2012; 3.4 (4)

We present the case of a 21 years old woman with excessive sweating on hand palms with exacerbation during stress periods and an evolution of a year. She was treated with aluminum-based antiperspirants, botulinium toxin intradermic injections and anti ant

González-Muñoz DN, Guzmán-Chávez ÓR, Bautista-González S, Preciado-Amador N, Ramírez-Solís A, Ruiz-Velazco A, Castellano-León A, Sánchez-Vergara S, López-Taylor JG.

Language: Spanish
References: 12
Page: 239-243
PDF size: 543.42 Kb.


ABSTRACT

We present the case of a 21 years old woman with excessive sweating on hand palms with exacerbation during stress periods and an evolution of a year. She was treated with aluminum-based antiperspirants, botulinium toxin intradermic injections and anti anticholinergics having no improvement, consequently was decided to perform a video assisted sympathectomy, presenting complete resolution of the palmar hyperhidrosis. The essential hyperdrolisis consists of an increased eccrine perspiration above 8-15 mcg/cm2 min, mostly on palmar level. Affects roughly 1-2.8% of the population. Its etiology is unknown even though many theories are made, the most accepted one establishes an increased activity in an cerebral cortex area. The management of mild or moderate consists in the application of topical agents such as aluminum salts, iontophoresis, oral anticholinergic drugs and botulinium toxin type A. The video assisted thoracoscopic sympathectomy (VATS) is indicated in the acute hyperhidrosis and on patients with repercussion in their psychological, professional and social spheres.


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