2014, Number 2
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Rev Cubana Pediatr 2014; 86 (2)
Compensatory sweating, an unwanted effect secondary to the surgical treatment of primary infant hyperhidrosis
Vialat SV, Vázquez ME, León AD, López DVC
Language: Spanish
References: 22
Page: 207-214
PDF size: 88.46 Kb.
ABSTRACT
Introduction: infantile idiopathic hyperhidrosis is characterized by disproportionate
sweating in hands, axillae and feet fundamentally, and brings social problems to those
suffering it. Compensatory sweating is unwanted effect that may occur after thoracic
surgery.
Objective: to evaluate the presence of compensatory sweating in children operated
on from idiopathic hyperhidrosis in hands and axillae.
Methods: a study of a case series of sixty one 11-18 years-old children operated on
from idiopathic hyperhidrosis and subsequently followed-up in university pediatric
hospital of Centro Habana from January 2011 to October 2013. The variables were
age, sex, location of hyperhidrosis, presence of compensatory sweating and its most
common locations as well as its short-and medium-term evolution.
Results: forty two girls (68.9 %) and 19 boys (31.1 %) were all operated through
synchronic bilateral thoracoscopic sympathicholysis technique using one access port.
Seventeen patients (27.9 %) presented with compensatory sweating, 14 in its slight
form and 3 in its moderate form. There was no significant difference as to the location
of hyperhidrosis and occurrence of compensatory sweating. The most common
location was the back in 6 cases (9.8 %). This effect improved as time went by or
disappeared in 70.4 % of patients.
Conclusions: the patients who had compensatory sweating regarded their present
situation as satisfactory because they overcame discomfort in their hands, and they
also considered that the surgical treatment was timely.
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