A case of idiopathic unilateral circumscribed hyperhidrosis

Yadalla, Hari Kishan Kumar; Ambika, Hariharasubramony; Chawla, Simran

doi:10.4103/0019-5154.108102

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Other medical causes of unilateral sweating are underlying collection (e.g. subgaleal hematoma) in or under the skin, Harlequins syndrome, 2 localized unilateral or segmental hyperhydrosis, 3 Frey's auriculotemporal syndrome 4 and Ross syndrome. 5…”

Section: Discussionmentioning

confidence: 99%

Unilateral EEG sweat artifacts in a patient of brainstem hemorrhage with central Horner's syndrome

Singh

Bansal

2016

International Journal of Epilepsy

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We present an interesting EEG finding of persistent unilateral sweat artifacts in a 47 years old male patient with right hemiplegia secondary to left thalamic bleed with extension of hemorrhage into the left internal capsule, the left midbrain and ventricles. The EEG was done for altered sensorium. It showed unilateral (right sided) sweat artifacts throughout the EEG recording. The anhydrosis on left side of the face was due to left sided Horner's syndrome because of involvement of first order neurons in the left midbrain. This EEG finding is highlighted because of it being relatively less common but interesting finding.

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Section: Discussionmentioning

confidence: 99%

Unilateral EEG sweat artifacts in a patient of brainstem hemorrhage with central Horner's syndrome

Singh

Bansal

2016

International Journal of Epilepsy

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“…Various underlying disorders were associated with LUH such as Frey's syndrome, cerebral infarction, Buerger disease, Holmes-Adiesyndrome, intra-thoracic malignancies, Riley-Day syndrome, LUH secondary to an eccrine nevus and type 1 Neurofibromatosis [6]. As reported by some authors it can be secondary to trauma [2,7,8,9] or idiopathic [10,6,11]. anterior to the transverse process of C7, superior to the neck of the first rib, and just below the subclavian artery.…”

Section: Case Reportmentioning

confidence: 99%

Trauma, possible cause of localized unilateral hyperhidrosis of the face?

et al. 2021

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Introduction. Localized unilateral hyperhidrosis (LUH) is a rare disorder of unknown origin, with multiple possible triggering factors and unknown pathogenesis. Although there are cases of LUH of the face reported, this is the first to report isolated ipsilateral hyperhidrosis of the face after blunt force trauma. Case outline. A 54-year old Caucasian woman presented with localized unilateral facial hyperhidrosis (LUH) of five years duration. Ipsilateral blunt trauma of the temple that preceded the condition for three months was identified as the most probable cause. For sharp demarcation the Minor or ?starch-iodine? test is performed which revealed presence and extent of the facial sweating on the left side of the face. Treatment with Sol. 20% aluminium chloride hexahydrate (Retrargin sol.) was conducted with partial response. Conclusion. After ruling out underlying diseases as a cause of LUH, a prior trauma should be considered as a potential cause. The possible mechanism could be the lesion of sympathetic chain as a result of cervical traction due to a facial blunt force trauma, although it cannot be positively proven.

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“…Profuse sweating that accompanies PAH can result in skin maceration and secondary microbial infections. [ 1 2 ] Treatment options for PAH include topical aluminum salts, systemic anticholinergics, various laser devices, and surgical interventions. The main limitations of the above-mentioned options are financial constraints, and transient results, such as those are observed with botulinum toxin therapy.…”

Section: Introductionmentioning

confidence: 99%

Treatment of primary axillary hyperhidrosis by fractional microneedle radiofrequency: Is it still effective after long-term follow-up?

et al. 2016

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Background:Primary axillary hyperhidrosis (PAH) is a chronic idiopathic disorder causing major stress in patients. Among the common therapies for PAH, only surgical interventions have proven feasible as a permanent solution.Objective and Aim:The aim of this study was to evaluate the efficacy and safety of fractional microneedle radiofrequency (FMR) as an alternative permanent treatment for PAH with long-term follow-up.Materials and Methods:This was a single-blind, sham-controlled comparative study. Twenty-five patients with severe PAH were provided three treatments of FMR at 3-week intervals (the treatment group), and a control group was provided the sham treatment. Clinical efficacy was evaluated using the hyperhidrosis disease severity scale (HDSS) at baseline and the end of the study, as well as during the 1 year follow-up phase.Results:HDSS demonstrated significant improvement after treatment in the treatment group compared to the sham control. The mean (±standard deviation) of HDSS in the group being treated with radiofrequency was 2.50 (±0.88) after 1 year follow-up, and that of the control group was 3.38 (±0.49; P < 0.001). Follow-up results show that there were 10 patients (41.6%) with no relapse and 11 patients (45.9%) with relapse after 1 year. There was a significant correlation between HDSS changes in relapse and body mass index (BMI) (P = 0.03).Conclusion:Treatment of PAH with FMR is a safe and noninvasive procedure with a positive therapeutic effect on HDSS. It is recommended, however, that sessions of FMR be repeated after 1 year, particularly in overweight patients with high BMIs.Clinical Trial Registration:IRCT2013111915455N1.Level of Evidences:Level II-1.

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A case of idiopathic unilateral circumscribed hyperhidrosis

Cited by 4 publications

References 8 publications

Unilateral EEG sweat artifacts in a patient of brainstem hemorrhage with central Horner's syndrome

Unilateral EEG sweat artifacts in a patient of brainstem hemorrhage with central Horner's syndrome

Trauma, possible cause of localized unilateral hyperhidrosis of the face?

Treatment of primary axillary hyperhidrosis by fractional microneedle radiofrequency: Is it still effective after long-term follow-up?

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