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Gustatory sweating and diabetes.

J van der Linden1, H A Sinnige, M A van den Dorpel

  • 1Department of Internal Medicine, St. Clara Hospital Rotterdam, Olympiaweg 350, 3078 HT, Rotterdam, The Netherlands.

The Netherlands Journal of Medicine
|March 23, 2000
PubMed
Summary
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Gustatory sweating, a rare diabetic autonomic neuropathy symptom, can significantly impact quality of life. Treatment with oxybutynin effectively reduced facial sweating in a patient with type 1 diabetes.

Area of Science:

  • Endocrinology
  • Neurology
  • Dermatology

Background:

  • Autonomic neuropathy is a common complication of diabetes mellitus.
  • Gustatory sweating (facial sweating during eating) is an unusual manifestation of autonomic dysfunction in diabetic patients.

Observation:

  • A patient with type 1 diabetes mellitus, diagnosed with retinopathy, nephropathy, and neuropathy, presented with bilateral diffuse facial sweating triggered by food intake.
  • This gustatory sweating significantly affected the patient's daily life and social interactions.

Findings:

  • The patient was treated with the antimuscarinic medication, oxybutynin.
  • Oxybutynin administration resulted in a remarkable reduction in gustatory sweating, providing substantial symptomatic relief.

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Implications:

  • This case highlights a potential therapeutic option for managing gustatory sweating in diabetic autonomic neuropathy.
  • Further research may explore the efficacy and safety of antimuscarinic agents in similar patient populations.
  • Early recognition and management of gustatory sweating can improve the quality of life for individuals with diabetic complications.