Diretrizes para a prevenção, diagnóstico e tratamento da hiperidrose compensatória

Lyra, Roberto de Menezes; Campos, José Ribas Milanez de; Kang, Davi Wen Wei; Loureiro, Marcelo de Paula; Furian, Marcos Bessa; Costa, María A.; Coelho, Marlos de Souza

doi:10.1590/s1806-37132008001100013

Cited by 44 publications

(27 citation statements)

References 28 publications

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“…Other complications include Horner’s syndrome (myosis, ptosis, anhidrosis) and pompholyx or dyshidrotic eczema (a palmar eczema characterized by maculopapules and vesicles because of severe palmar anhidrosis and dry skin). Some studies have reported the possibility of decreasing complications and side effects in sympathicotomy compared to sympathectomy, (4-6) while some studies do not accept this (7, 8). …”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Mohebbi¹,

Mehrvarz²,

Manoochehry³

2012

Trauma Mon

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BackgroundPrimary hyperhidrosis (P.H.H.) is characterized by excessive sweating in certain parts of body. It’s estimated prevalence is 0%-6.1% in different populations. In Asian population its prevalence is around 3%. In 57% of cases, there is a positive family history.ObjectivesTo evaluate and compare the early and late satisfaction, outcomes and complications of thoracoscopic sympathectomy and sympathicotomy in the treatment of primary hyperhidrosis.Materials and MethodsFrom April 2007 to January 2011, we prospectively treated 60 primary hyperhidrosis patients via thoracoscopic surgery. The first 30 patients underwent sympathectomy and the next 30 patients underwent sympathicotomy. We evaluated early and late satisfactions, outcomes and complications on the first visit (5-8days) following surgery and 12 months after surgery, for all patients.ResultsThe mean operative time was 66.3 minutes in sympathicotomy group and 110.8 minutes in sympathectomy group (P < 0.001). There were no significant differences between the two groups in overall early and late satisfaction, gustatory sweating, pompholyx and post-operative pain. There was comparatively less early and late compensatory sweating (C.S.), and other adverse influences of C.S. in the sympathicotomy group.ConclusionsBecause of shorter operative time, less C.S. and less adverse influence of C.S., sympathicotomy seems a better treatment for primary hyperhidrosis, compared with sympathectomy.

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Section: Introductionmentioning

confidence: 99%

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Mohebbi¹,

Mehrvarz²,

Manoochehry³

2012

Trauma Mon

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“…The complication of CH may vary in degree. The mild degree complication reportedly affects from 15% to 90% of patients, and the percentage of severe degree of CH is between 1% and 30% (Lyra Rde et al., 2008). …”

Section: Discussionmentioning

confidence: 99%

Pulsed radiofrequency stimulation suppresses palmar hyperhidrosis in an animal study

Lin¹,

Huang

Kao

et al. 2017

Brain and Behavior

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ObjectivesPalmar hyperhidrosis (PH) exhibits excessive and unpredictable sweating. The most effective treatment for permanent cure is the ablation of thoracic sympathetic ganglia innervating hands. However, sympathectomy of T2 sympathetic ganglion by clipping or cauterization causes irreversible nerve damage, and results in a compensatory hyperhidrosis (CH). We herein used the pulsed radiofrequency (PRF) stimulation to reversibly block sympathetic ganglion to treat PH and avoid CH.Material and MethodsA bipolar electrode was implanted into the right T2 sympathetic trunk by endoscopic surgery and PRF was delivered through the electrode. The humidity (%) of right palm was measured to indicate sweating level.ResultsSix out of 13 rats (46.2%) that received a 5‐min PRF stimulation on the T2 sympathetic trunk showed a decrease in the right palm humidity during the surgery. PRF stimulation significantly reduced humidity from 69.17% ± 0.72% obtained from baseline condition to 66.93% ± 0.69%. The humidity reduction was also observed at 10 min after the PRF stimulation. We further evaluated the effect of PRF stimulation 1 week after surgery and found that the PRF stimuli reduced right hand humidity in 5 out of 8 rats (62.5%). PRF stimulation significantly reduced humidity from 66.11% ± 0.81% obtained from sham operation control to 63.62% ± 0.82%. The percentage of right hand humidity obtained 10 min after PRF stimulation was also reduced to 63.38% ± 0.80%. Anesthetics have no effect on humidity.ConclusionsThese results indicate that PRF stimulation of T2 sympathetic trunk reduces palm sweating in rats.

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“…Therefore, the intensity of hyperhidrosis at the initial assessment, as well as at each assessment and, if necessary, also in the postoperative period, can be recorded on the medical charts. ( 4 ) …”

Section: To the Editormentioning

confidence: 99%

“…Desse modo, podemos registrar no prontuário a intensidade da hiper-hidrose na avaliação inicial como também a cada reavaliação e, se for o caso, também no pós-operatório. ( 4 ) …”

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Visual scale for the quantification of hyperhidrosis

Lyra

2013

J. bras. pneumol.

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Diretrizes para a prevenção, diagnóstico e tratamento da hiperidrose compensatória

Cited by 44 publications

References 28 publications

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Thoracoscopic Sympathicotomy vs Sympathectomy in Primary Hyperhidrosis

Pulsed radiofrequency stimulation suppresses palmar hyperhidrosis in an animal study

Visual scale for the quantification of hyperhidrosis

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