Definition of Axillary Hyperhidrosis by Gravimetric Assessment

Hund, Martina; Kinkelin, Ilka; Naumann, Markus; Hamm, Henning

doi:10.1001/archderm.138.4.539

Cited by 72 publications

(52 citation statements)

References 4 publications

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“…In most studies presented in the literature, the authors concentrate on relative impact of different forms of treatment on gravimetrically measured sweating [3,4,[10][11][12][13][14][15][16][17][18][19]. Mostly, such measurements were performed in dermatological settings and concerned the results of botox treatment [3,4,[13][14][15][16][17]19] or iontophoresis [12].…”

Section: Discussionmentioning

confidence: 99%

“…Mostly, such measurements were performed in dermatological settings and concerned the results of botox treatment [3,4,[13][14][15][16][17]19] or iontophoresis [12]. In those methods of treatment, associated with low level of transient complications or side effects, even less stringent approach to qualification will not cause longterm harm to the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Vapometry provides valuable and reliable method of assessment, nevertheless, it is not possible to be performed it in multiple localizations (face, hands, armpits, trunk, feet) in more than one patient at the same time [2]. Gravimetry is a simple, cheap and fast method of objective evaluation of sweating, and seems to be very promising [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Gravimetry in Sweating Assessment in Primary Hyperhidrosis and Healthy Individuals

Stefaniak¹

2017

Agache's Measuring the Skin

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Objective Though hyperhidrosis is generally considered a subjectively perceived disease, it seems more and more doubtful that merely subjective evaluation is sufficient to qualify the patient to surgery. The aim of this study was to develop further gravimetry as a method of evaluation of sweating intensity and determination of the applicability of it in post-operative follow-up of primary hyperhidrosis (PHH) patients. Methods Total of 1,485 gravimetry assays has been performed in 343 patients treated for hyperhidrosis and in 220 healthy volunteers. In all of the subjects the measurements were taken from four localizations (face, hands, armpits and trunk) and normalized by body surface of the participant. The measurements were taken twice for every participant to obtain test-retest correlations. Mean values and standard deviations (SD) have been evaluated and on that basis reference values were quantified. Thresholds for diagnosis of hyperhidrosis were quantified on the basis of normal distribution theory as healthy population mean ?2 SD. Interpretation Gravimetry is easy, reproducible and fast method of evaluation of sweating. The reference values are stable and can serve as a qualifying and follow-up tool for evaluation of the patients with PHH in any localization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gravimetry in Sweating Assessment in Primary Hyperhidrosis and Healthy Individuals

Stefaniak¹

2017

Agache's Measuring the Skin

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“…The intensity of hyperhidrosis has not yet been precisely graded, but it may be mild, moderate and intense. Some authors have proposed the gravimetric method to precisely measure the sweat quantity by means of weighing the sweat-soaked paper, but this method is still reserved only for laboratory studies (6).…”

Section: Surgical Techniquementioning

confidence: 99%

Videothoracoscopic sympathectomy - a standard treatment for primary hyperhidrosis at the Clinic of Thoracic Surgery in Sremska Kamenica / Videotorakoskopska simpatektomija – standarna hirurška metoda za lečenje primarne hiperhidroze na Klinici za grudnu hirurgiju u Sremskoj Kamenici

Kuhajda¹,

Milos²,

Đurić³

et al. 2010

Serbian Journal of Dermatology and Venerology

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Primary hyperhidrosis affects approximately 3% of the world's population, particularly young female adults. It is defined as excessive, profuse sweating of the palms, soles, armpits and face. Conservative treament includes diverse modalities, however, surgical treatment has shown the best long-term results. The objective of this study was to assess some disease-specific epidemiological characteristics in a pre-selected group of patients seeking surgical therapy, as well as outcomes of thoracoscopic sympathectomy. The severity and impact of hypehidrosis was assessed, using Hyperhidrosis Disease Severity Scale (HDSS: patients rate the serverity of symptoms on a scale from 1 to 4). Thoracoscopic sympathectomy was performed using a double lumen endotracheal tube, via bilateral 5 mm dual port videothoracoscopic camera 0°, and an endoscopic ultrasound activated harmonic scalpel. The sympathetic chain was resected on both sides at the level of the second and the third thoracic ganglion (T2 and T3), using an ultrasound knife. The extirpated chain was also at the level T3-T4 and sent for ex tempore analysis. There were 162 patients undergoing thoracoscopic sympathectomy: 39.51% were males and 60.49% females; at presentation their mean age (± SD) was 30.5 (±8.3), range 16 -58 years. Axillary hyperhidrosis occurs later than palmar-axillary-plantar (p<0.05). A total of 35.18% of the evaluated patients were able to name at least one member of their families who also suffered from hyperhidrosis. The most commonly affected area was palmar-axillary-plantar (30.25%). Fifty patients (30.86%) received conservative therapy before surgery. The most commonly used conservative therapy modalities included different kinds of ointments/tinctures (11.73%), botox (8.02%) and iontophoresis (2.47%). Prior to surgery, 91.36% of patients reported severe sweating (HDSS score 3 or 4). The highest mean score was given for a combination of facial-palmar-axillaryplantar hyperhidrosis (3.80±0.24). All surgeries were successfully performed, with no complications, or perioperative morbidity. The mean hospital stay was 1.28±0.68 days long. After surgery, 93.21% of patients reported mild or moderate hyperhidrosis (HDSS score 1 or 2). Compensatory sweating (lower part of the back, and abdomen) was reported by 34.57% of patients after the surgery. All patients had a 6-months long follow-up: a significant improvement in quality of life was reported by 84.56% of patients (Yates corrected c 2 (1) = 228.42; p=0.0000)); due to compensatory sweating, only 4.94% and 1.85% of patients reported bad and very bad quality of life, respectively. In conclusion, nowadays videothoracoscopic sympathectomy is a standard treatment for primary hyperhidrosis with a high success rate. T5, and to lower limbs at T2 and T7. Videothoracoscopic sympathectomy -a standard treatment for primary hyperhidrosis at the Clinic of Thoracic Surgery in Sremska KamenicaExcessive sweating or hyperhidrosis affects approximately 3% of the world population (1, 2), predominantly young femal...

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“…La validez y fiabilidad de la ESH se analizó mediante tres estudios que mostraron la fiabilidad y validez del mismo 24,25 . Otras técnicas complementarias para identificar zonas con hiperhidrosis son 18,26,27 : • Test del almidón y el yodo. Una vez bien seca la región a explorar, se pinta con una sustancia yodada, como povidona yodada, y se seca.…”

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