Hyperhidrosis: prevalence and impact on quality of life

Hasimoto, Érica Nishida; Catâneo, Daniele Cristina; Reis, Tarcísio A.; Catâneo, Antônio José Maria

doi:10.1590/s1806-37562017000000379

Cited by 24 publications

(38 citation statements)

References 25 publications

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“…We found axillary site participation to be the most frequent, in accordance to the German and Swedish studies [7, 12] and in contrary to three Brazilian studies [8, 13, 19]. We found palmar PH to be slightly more prevalent than plantar PH, in accordance to studies in Brazil [13, 19], whereas the studies in Germany and Sweden found plantar hyperhidrosis to be slightly more prevalent than palmar hyperhidrosis.…”

Section: Discussionsupporting

confidence: 87%

“…[12] Similarly, a Brazilian study also diagnosed 29.4% of patients reporting excessive sweating as SH. [19] This suggests that differences in diagnostic criteria for primary or secondary presentations may be responsible for variability of PH prevalence rather than epidemiological differences.…”

Section: Discussionmentioning

confidence: 99%

“…[4] All western studies regarding the primary form of hyperhidrosis found axillary, palmar and plantar sites to be more frequent than craniofacial. [8, 12, 13, 19]. A study in Japan found axillary and palmar PH to be the most frequent, but found craniofacial to be more frequent than plantar PH [10].…”

Section: Discussionmentioning

confidence: 99%

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Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

et al. 2019

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BackgroundHyperhidrosis is a pathological condition defined by excessive sweating beyond thermoregulatory physiological needs, which can cause substantial psychological impact and impairment of daily activities. Studies regarding its prevalence, however, are scarce and vary widely in their findings. The population of medical students is a particularly interesting subset for its recurring demand of physical contact during patient examination or procedures, and the potential for professional adversity. We aimed at furthering the comprehension of this disease prevalence and characteristics among medical students.MethodsQuestionnaires inquiring about the presence and characteristics of Primary Hyperhidrosis (PH) were applied through either written or digital means to all eligible medical students enrolled in three Medical Schools in the State of Rio de Janeiro who agreed to take part in the study. Demographic data regarding gender, ethnicity, current age, weight and height was collected in addition to clinical data (sweat site, age of onset, familial history, severity and previous treatments). Severity was evaluated through the Hyperhidrosis Disease Severity Scale (HDSS) and a symptoms survey.FindingsOur response rate was roughly 1/3 of all eligible students (900/2700). PH prevalence was 20.56% (185/900). It was similar between men and women (23.08% and 19.41%, respectively) and strongly associated with family history of the disease (Prevalence Ratio of 4.27). Regarding ethnicity, of the total sample 73.78% (664/900) self-declared white, among which 19.28% (128/664) had PH. Mixed-race and other ethnicities encompassed 26.22% (236/900) of the sample, among which 24.15% (57/236) had PH. Most positive subjects (64.32%) presented associated forms of PH. Overall involvement of each site (both associated and isolated) was: 63.78% axillary, 50.81% palmar, 43.24% plantar, 20.54% craniofacial, 18.38% facial flushing and 2.16% gustatory sweating. Mean current age was 23.11(±4.04) years for PH patients, and age of onset was ≤18 years in 93.94% of cases. Regarding body mass index (BMI), 71.09% of PH patients had BMI<25kg/m2 and only 4.69% presented BMI≥30kg/m2, none ≥35kg/m2. Some degree of life quality impairment was reported by 89.20% of PH patients, and 23.89% had HDSS 3 or 4 (moderate to severe).ConclusionsPH prevalence among Rio de Janeiro medical students was 20.56%, similar between men and women, predominating associated presentations, axillary, palmar and plantar sites, strong familial history, age of onset before 18 years, and some degree of life impairment.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

et al. 2019

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“…Hyperhidrosis occurs as a result of increased sympathetic activity and may cause significant psychological problems and professional and social handicaps. [1] Hasimoto et al [2] stated that actual prevalence of primary hyperhidrosis was 0.93% and nearly 50% of the respondents with primary hyperhidrosis reported impaired quality of life. Although treatments such as botulinum toxin type A, oral medication, topical therapy with aluminium chloride, psychotherapy, and iontophoresis are available, surgical sympathectomy is being increasingly utilized.…”

mentioning

confidence: 99%

Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning

Gedik¹,

Örüm²

2019

FNG & Demiroğlu Bilim Tıp Dergisi

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Severe palmar and/or axillary hyperhidrosis may adversely affect the patients. Thoracoscopic sympathectomy is frequently preferred for the treatment of severe hyperhidrosis. Patient positioning in surgery may cause a number of complications. In this article, we report a male patient who developed hypoesthesia on the palmar side of the first three fingers of the left hand after thoracoscopic bilateral sympathectomy for hyperhidrosis. Nerve conduction studies revealed non-significant results. Hypoesthesia was thought to be related to hyper-abduction position of arms. This complication disappeared two months after surgery. Appropriate patient positioning may prevent these complications. Hiperhidrozis tedavisinde torakoskopik bilateral sempatektomi:Bir hasta pozisyonlama komplikasyonu ÖZ Şiddetli palmar ve/veya aksiller hiperhidrozis hastaları olumsuz etkileyebilir. Torakoskopik sempatektomi şiddetli hiperhidrozis tedavisinde sıklıkla tercih edilir. Cerrahide hasta pozisyonlaması bazı komplikasyonlara neden olabilir. Bu yazıda, hiperhidrozis için torakoskopik bilateral sempatektomi sonrası sol elin ilk üç parmağının palmar tarafında hipoestezi gelişen bir erkek hasta sunuldu. Sinir ileti çalışmaları anlamlı olmayan sonuçlar gösterdi. Hipoestezinin kolların hiper-abdüksiyon pozisyonu ile ilişkili olabileceği düşünüldü. Bu komplikasyon cerrahiden iki ay sonra ortadan kayboldu. Uygun hasta pozisyonlaması bu komplikasyonları önleyebilir.

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“…[1][2][3][4] İnsidansı tam olarak bilinmese de yapılan çalışmalarda genel olarak toplumun %0,6-4,8'inde görüldüğü rapor edilmiştir. [5][6][7] Terlemenin dağılımına göre sistemik veya lokalize olabilir ve terleme nedenine göre primer veya sekonder olarak sınıflandırılabilir. 8 Sistemik HH'de tüm vücutta terleme olur iken, lokalize terleme vücudun sadece belirli bölgelerini etkiler.…”

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The Effect of Thyroid Hormone Levels on Primary Hyperhidrosis

Türkmen¹

2019

Turkiye Klinikleri J Dermatol

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Hyperhidrosis: prevalence and impact on quality of life

Abstract: Although the prevalence of self-reported excessive sweating was greater than 2%, the actual prevalence of primary hyperhidrosis in our sample was 0.93% and nearly 50% of the respondents with primary hyperhidrosis reported impaired quality of life.

Cited by 24 publications

References 25 publications

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro

Thoracoscopic bilateral sympathectomy for the treatment of hyperhidrosis: A complication of patient positioning

The Effect of Thyroid Hormone Levels on Primary Hyperhidrosis

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