Definitive Diagnosis and Management of Axillary Hyperhidrosis: The VapoMeter and Suction-Assisted Arthroscopic Shaving

Larson, David L.

doi:10.1177/1090820x11410869

Cited by 16 publications

(17 citation statements)

References 32 publications

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“…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 [3–5].…”

Section: Introductionmentioning

confidence: 99%

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Stefaniak

Proczko

2013

Clin Auton Res

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ObjectiveThough 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.MethodsTotal 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.ResultsIn healthy volunteers, mean value of gravimetrically evaluated intensity of sweating were: facial: 19.15 ± 14.97 mg/min/m2, palmar: 18.49 ± 14.06 mg/min/m2, axillary: 42.39 ± 47.08 mg/min/m2 and plantar: 15.77 ± 16.87 mg/min/m2. Thresholds for diagnosis of hyperhidrosis were quantified, respectively as: 49, 46, 136 and 50 mg/min/m2. The overall test–retest correlation was 0.71.InterpretationGravimetry 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: Introductionmentioning

confidence: 99%

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Stefaniak

Proczko

2013

Clin Auton Res

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“…Gravimetric test, ninhydrin test and VapoMeter may be used for a quantitative evaluation. 13 However, objective methods for the visualization or weighing of sweat may, eventually, be disappointing, since the sweat rate fluctuates over time, and may even be completely absent at the time of consultation, even in patients without treatment. 14 …”

Section: Assessmentmentioning

confidence: 99%

Surgical treatment of axillary hyperhidrosis by suction-curettage of sweat glands

Rezende

Luz

2014

An. Bras. Dermatol.

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Suction curettage is a dermatologic surgery technique for the treatment of axillary hyperhidrosis, which is becoming more popular. Objective: The purpose of this study is to describe the current technique of removal of axillary sweat glands, and evaluate its efficacy and safety. Conclusion: Suction-curettage of sweat glands is a minimally invasive surgical technique that is easy to perform, safe, has high rates of success and relatively few side-effects. It is generally well tolerated by patients and requires shorter time away from daily activities, when compared with other surgical modalities.

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“…Reference values for the different areas of the body have been determined in the study conducted by our team on over 400 volunteers (11). They amount to 16 mg/min/m 2 for the face and (25). The use of his method in patients with primary hyperhidrosis is limited by: high variability in transepidermal water loss in these patients and episodic nature of the symptoms (26), relatively high cost of the device as well as the fact that it is impossible to quickly assess several localizations or patients during the test with a group stress provocation component.…”

Section: Diagnosis Of Primary Hyperhidrosismentioning

confidence: 99%

Diagnosis and Treatment of Primary Hyperhidrosis

Stefaniak¹,

Dobosz²,

Kaczor³

et al. 2013

Polish Journal of Surgery

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Definitive Diagnosis and Management of Axillary Hyperhidrosis: The VapoMeter and Suction-Assisted Arthroscopic Shaving

Cited by 16 publications

References 32 publications

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Surgical treatment of axillary hyperhidrosis by suction-curettage of sweat glands

Diagnosis and Treatment of Primary Hyperhidrosis

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