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Focal Hyperhidrosis Associated with Recurrent Urinary Tract Infections
Dina Ismail1, Vidya Madhwapathi1, Evmorfia Ladoyanni1
1Department of Dermatology, Dudley Group NHS Foundation Trust, Dudley, West Midlands DY1 2HQ, UK.
Case Reports in Dermatological Medicine
|July 6, 2016
Summary
A rare case reveals that excessive sweating of the buttocks and thighs may signal a urinary tract infection (UTI). Treating the UTI resolved the hyperhidrosis, suggesting a link between bladder pressure and sweating.
Area of Science:
- Urology
- Dermatology
- Internal Medicine
Background:
- Hyperhidrosis is excessive sweating beyond thermoregulation needs, occurring primarily or secondarily.
- Secondary hyperhidrosis can result from neurogenic sympathetic overactivity affecting eccrine glands.
Purpose of the Study:
- To report a unique case of new-onset focal hyperhidrosis linked to recurrent urinary tract infections (UTIs).
- To investigate the potential association between lower urinary tract symptoms and secondary hyperhidrosis.
Main Methods:
- Case report of a 75-year-old male with focal hyperhidrosis.
- Urological investigation including assessment for urethral strictures and cystitis.
- Correlation of hyperhidrosis symptoms with culture-positive Escherichia coli (E. coli) urine samples and treatment response.
Main Results:
- The patient presented with secondary focal hyperhidrosis of the buttocks, pelvis, and upper thighs.
- Symptoms correlated with culture-positive E. coli UTIs.
- Hyperhidrosis resolved with antibiotic treatment for UTIs and stabilized with prophylactic antibiotics.
Conclusions:
- Urethral strictures may lead to voiding inhibition, increasing UTI susceptibility.
- Increased bladder pressure from urine accumulation might trigger sympathetic discharge, causing hyperhidrosis.
- Recommends urine dipstick tests for new-onset focal hyperhidrosis in these areas and timely urological referral for males with recurrent UTIs.
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