Biology of sweat glands and their disorders. II. Disorders of sweat gland function

Sato, Kei; Kang, Won Hyoung; Saga, Kenji

doi:10.1016/s0190-9622(89)70081-5

Cited by 273 publications

(212 citation statements)

References 96 publications

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“…These eccrine glands are distributed over almost the entire body surface, although their density is higher in the soles and the forehead, followed by clapping of hands and cheeks. Clinical studies have not found histopathological changes in the sweating glands or increases in the size or number of them 16 . Rather, the focal HH represent a complex dysfunction of autonomic nervous system: the increased sympathetic activity through T2-T3 ganglia may cause excessive palmar perspiration, causing a vicious circle, since the cooling of the skin by evaporation triggers a sympathetic hyperactivity, which, in turn, increases the sweating 17 .…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis

Flores

2012

Arq. Neuro-Psiquiatr.

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OBJECTIVE: Surgery for both palmar and axillar hyperhidrosis usually includes the interruption of the sympathetic chain in multiple levels. This study aimed to determine the long-term outcomes associated to video-assisted thoracic sympathotomy (VATS) of T2, T3 and T4 ganglia for these cases. METHODS: Analysis of the outcomes obtained from 36 patients regarding the rate of resolution of the symptoms and the compensatory sweating (CS). All subjects were followed-up for 36 months. RESULTS: Good outcomes were observed in 98.6% for palmar and 60% for axillary hyperhidrosis (p=0.0423), respectively. Of the subjects, 86% reported some postoperative episode of CS, however only 45% (p=0.0031) still noticed it at the end of the follow-up period. CONCLUSIONS: VATS is effective for the excessive palmar sweating, whereas it is fully efficient for only two thirds of the cases sustaining associated axillar hyperhidrosis. CS is expected as a rule following the proposed operative protocol, however it is usually self-limited.

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Section: Discussionmentioning

confidence: 99%

Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis

Flores

2012

Arq. Neuro-Psiquiatr.

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“…Existen unos 4 millones (oscila entre 2 y 5 millones) de glándulas sudoríparas en el cuerpo, de las cuales unos 3 millones son ecrinas y el resto apocrinas y apoecrinas 70 . Las glándulas ecrinas están inervadas por fibras postganglionares colinérgicas del sistema nervioso simpático.…”

Section: Hiperhidrosis Focal Patológicaunclassified

“…Por el contrario, las glán-dulas apocrinas se localizan preferentemente en regiones axilares, área urogenital y aréola mamaria, su función está regulada por procesos hormonales, no son activas hasta la pubertad y no están implicadas en la hiperhidrosis focal. Además, existen glándulas mixtas apoecrinas, funcional y farmacológicamente diferentes, localizadas sobre todo en regiones axilares y perianales, cuyo papel en la hiperhidrosis focal es desconocido 70 .…”

Section: Hiperhidrosis Focal Patológicaunclassified

“…Más bien, la hiperhidrosis focal representaría una disfunción compleja del sistema nervioso autónomo 70 . En un estudio de Shih 73 , los pacientes con hiperhidrosis palmoplantar mostraban una menor bradicardia refleja en respuesta a maniobras de Valsalva y un mayor grado de vasoconstricción en respuesta a inmersión de los dedos en agua fría.…”

Section: Hiperhidrosis Focal Patológicaunclassified

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Simpatectomía toracoscópica: una revisión de la literatura

Bejarano¹,

Manrique²

2010

Neurocirugía

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“…Essential hyperhidrosis, characterized by excessive sweating of the eccrine sweat glands, is a frequently encountered dermatologic and neurologic disorder (Sato et al 1989). The pathophysiology of this condition is unknown but it has been attributed to overactivity of the sympathetic fibers that pass through the upper thorasic sympathetic ganglia (Noppen et al 1996).…”

mentioning

confidence: 99%

Impaired Left Ventricular Filling in Patients with Essential Hyperhidrosis: An Echo-Doppler Study

Sağlam

Esen

Barutçu

et al. 2006

Tohoku J. Exp. Med.

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Essential hyperhidrosis is a well recognized dermatologic and neurologic disorder, characterized by excessive sweating of the eccrine sweat glands. It is also associated with cardiac autonomic dysfunction because sympathetic fibers to eccrine glands of palms of the hand arise from stellate and upper thoracic ganglia, which also innervate the heart. In this study, we investigated cardiac function in patients with essential hyperhidrosis by conventional and tissue Doppler imaging methods. Eighteen subjects with essential hyperhidrosis and eighteen control subjects were included in this study. Pulsed-wave Doppler parameters of the left and right ventricles, which represent diastolic filling abnormalities, were obtained by conventional Doppler and tissue Doppler imaging. Isovolumetric relaxation time, isovolumetric contraction time, ejection time and myocardial performance index were also calculated. Mitral inflow peak early (E M ) and late (A M ) velocities and E M /A M ratio, which represent diastolic filling of left ventricle, were significantly lower in hyperhidrotic subjects than in controls. Also, mitral lateral annulus early and late velocities and early/late velocity ratio, reflecting diastolic filling of left ventricle, were significantly lower in hyperhidrotic subjects than those of controls. However, there were no differences between hyperhidrotic subjects and control subjects with regard to the other echocardiographic indices of left and right ventricle diastolic functions. In conclusion, decreased mitral inflow suggests left ventricle diastolic dysfunction in patients with essential hyperhidrosis. This indicates that hyperactivity of sympathetic nervous system in patient with hyperhidrosis may alter cardiac function in long term. essential hyperhidrosis; cardiac function; echocardiography

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Biology of sweat glands and their disorders. II. Disorders of sweat gland function

Cited by 273 publications

References 96 publications

Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis

Long-term outcomes associated to video-assisted thoracic sympathotomy for palmar-axillar subtype of the hyperhidrosis

Simpatectomía toracoscópica: una revisión de la literatura

Impaired Left Ventricular Filling in Patients with Essential Hyperhidrosis: An Echo-Doppler Study

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