Delusional Hyperhidrosis as a Risk for Medical Overtreatment: A Case of Botulinophilia

Kreyden, Oliver P

doi:10.1001/archderm.138.4.538

Cited by 9 publications

(7 citation statements)

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“…In some anecdotal cases, despite obvious anhidrosis, the patients may still demand further treatment [9], which may arise from psychiatric conditions, such as body dysmorphic syndrome. In those patients, invasive treatment may lead not only to dissatisfaction, but also to severe psychiatric disturbances or even suicide.…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Stefaniak

Proczko

2013

Clin Auton Res

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“…Adequate and objective evaluation of intensity of sweating plays an essential role in proper qualification to surgery and further, for reliable assessment of the results of intervention. In some anecdotal cases, despite obvious anhidrosis, the patients may still demand further treatment [9], which may arise from psychiatric conditions, such as body dysmorphic syndrome. In those patients, invasive treatment may lead not only to dissatisfaction, but also to severe psychiatric disturbances or even suicide.…”

Section: Discussionmentioning

confidence: 99%

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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“…The psychopathologic characteristics of patients with essential hyperhidrosis have been categorized into 3 groups: (1) objectifiable hyperhidrosis due to a psychosomatic disorder like atopic dermatitis; (2) objectifiable hyperhidrosis with secondary psychiatric sequelae like social phobia, anxiety, and depression as a consequence of chronic skin disease; and (3) delusional hyperhidrosis without any objective evidence of hyperhidrosis. 52 This last category has been increasingly observed in patients with body dysmorphic disorder. 53 Patients with hyperhidrosis have poorer coping ability and more emotional problems compared to patients with other dermatology problems.…”

Section: Hyperhidrosismentioning

confidence: 99%

Psychodermatology

Jafferany

2007

Prim. Care Companion J. Clin. Psychiatry

153

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Delusional Hyperhidrosis as a Risk for Medical Overtreatment: A Case of Botulinophilia

Cited by 9 publications

References 0 publications

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals

Gravimetry in Sweating Assessment in Primary Hyperhidrosis and Healthy Individuals

Psychodermatology

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