HYPERHIDROSIS SCIENCE: Hyperhydrosis research, treatments - excessive sweating knowledge

DR. STOLL'S HYPERHIDROSIS ARTICLE INDEX

• Is previous throacic sympathectomy a risk factor for exertion?
• Treatment of palmar hyperhidrosis: T(4) level compared with T(2) and T(3).
• Severe Pomphylox Following Endoscopic Thoracic Sympathectomy for Hyperhidrosis
• Repeat Liposuction-Curettage Treatment of Axillary Hyperhidrosis Effectiveness
• Contralateral Hyperhidrosis After Intracerebral Hemmorage
• Facial hyperhidrosis: Best Practice Recommendations and Special Considerations.
• Outpatient Microthoraacosopic Sympathectomy for Palmar Hyperhidrosis
• Use of Oral Glycopyrronium in Hyperhidrosis
• Oxybutynin for Patients with Hyperhidrosis in One Case Study
• Paroxetine Useful for Palmar-Plantar Hyperhidrosis in One Case Study
• Thoracic Sympathicolysis for Primary Hyperhydrosis
• Improved Quality of Life After Sympathetic Block for Upper limb Hyperhidrosis.
• Surgical Treatment of Axillary Hyperhidrosis
• Mydriasis and Accommodative Failure from Exposure to Topical Glycopyrrolate Used in Hyperhydrosis.
• Facial Hyperhydrosis-Induced Social Fear Alleviated with Topiramate.
• Treatment of Inguinal Hyperhidrosis or HH with Botulinum Toxin Type A.
• Hyperhidrosis in Parkinson's Disease.
• Hyperhydrosis: A Few and Often Early Symptom in Fabry Disease.

HYPERHIDROSIS KNOWLEDGE AND SCIENCE

August 2007: Risk with Exertion for Thoracic Sympathectomy for Hyperhidrosis

Medical Publication:

Is Previous Throacic Sympathectomy a Risk Factor for Exertion?

Annals of Thoracic Surgery, 84(3): 1025-7, 2007.

Synopsis: A review of experiments involving the depth of cuts during surgery for hyperhidrosis.

The hyperhidrosis scenario: A physically fit and healthy young man had a heat stroke after running a 10 kilometer race. He had previously received a bilateral thoracic sympathectomy for excessive sweating and was known to have reduced upper body sweating. The authors noted that thoracic sympathectomy can result in reduced sweating (the aim of course), and unfortunately, both altered peripheral vascular and heart rate responses. Quite a risk in surgery for hyperhidrosis (excessive sweating).

Conclusion: Reduction in excessive sweating is the goal in operations such as thoracic sympathectomy, however, this seemingly simple aim can have serious, and sometimes such as in this case, life threatening consequences. Participation in long distance running events, or any strenuous exercise, should be evaluated by anyone who has undergone a thoracic sympathectomy for hyperhidrosis (excessive sweating). One must balance the absence of excessive sweating with the potential for too little sweating during strenuous exercise, along with altered vascular and heart rate. In this particular case, the said patient should have weighed his love for physical activity against the severity of his heavy perspiration, then finding the importance of solving his sweating problem.

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