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Peripheral vascular endothelial function in essential hyperhidrosis.

Ali Metin Esen1, Irfan Barutcu, Semsettin Karaca

  • 1Kosuyolu Heart Education and Research Hospital, Department of Cardiology, Istanbul, Turkey.

Circulation Journal : Official Journal of the Japanese Circulation Society
|May 26, 2005
PubMed
Summary
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Essential hyperhidrosis, a disorder of the eccrine sweat glands, does not impair endothelium-dependent vasodilation in large arteries. This suggests localized eccrine gland dysfunction rather than a generalized vascular endothelium disorder.

Area of Science:

  • Cardiovascular Physiology
  • Sweat Gland Biology
  • Endothelial Function

Background:

  • Essential hyperhidrosis is linked to sympathetic overactivity.
  • The role of vascular endothelium in this condition is unclear.

Purpose of the Study:

  • To investigate endothelium-dependent vasodilator function in patients with essential hyperhidrosis.

Main Methods:

  • High-resolution ultrasound was used to measure brachial artery diameter.
  • Flow-mediated dilatation (FMD) and nitroglycerin-induced dilatation (NTG) were assessed.
  • 18 patients with essential hyperhidrosis and 24 healthy controls were studied.

Main Results:

  • Baseline brachial artery diameter and FMD were comparable between groups (p=0.8 and p=0.1, respectively).

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  • Peak reactive hyperemia flow velocity was similar in both groups (p=0.5).
  • Nitroglycerin-induced dilatation did not differ significantly between patients and controls (p=0.3).
  • Conclusions:

    • Endothelium-dependent vasodilation in large conduit arteries is preserved in essential hyperhidrosis.
    • Essential hyperhidrosis appears to be a localized disorder of eccrine sweat glands, not a generalized vascular endothelium issue.