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Diabetic gustatory sweating.

Dwight I Blair1, Julius Sagel, Ian Taylor

  • 1Department of Internal Medicine, Medical University of South Carolina, Charleston 29425, USA.

Southern Medical Journal
|March 21, 2002
PubMed
Summary

Gustatory sweating, a condition causing head and neck sweating during meals, can indicate autonomic dysfunction in long-standing diabetes. This often accompanies other diabetic complications like neuropathy and kidney disease.

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Area of Science:

  • Endocrinology
  • Neurology
  • Autonomic Medicine

Background:

  • Gustatory sweating is a recognized symptom of autonomic dysfunction.
  • It is frequently observed in patients with long-standing diabetes mellitus.
  • The condition is often associated with diabetic complications such as nephropathy and peripheral neuropathy.

Observation:

  • Patients with diabetes may experience profuse diaphoresis (sweating) of the head and neck while eating.
  • These symptoms can be indicative of underlying dysautonomia.
  • A case study highlights a patient with complicated diabetes exhibiting gustatory sweating.

Findings:

  • The presented case demonstrates gustatory sweating alongside other signs of autonomic dysfunction in a diabetic patient.
  • Literature review supports the link between gustatory sweating and diabetic autonomic neuropathy.

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  • Bedside diagnostic testing can aid in identifying this condition.

    • Implications:

    • Recognizing gustatory sweating is crucial for diagnosing autonomic dysfunction in diabetic patients.
    • Early identification allows for timely management of associated autonomic complications.
    • Further research into diagnostic and therapeutic strategies for gustatory sweating is warranted.