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Palmar hyperhidrosis: clinical, pathophysiological, diagnostic and therapeutic aspects
Flávio Ramalho Romero1, Gabriela Roncada Haddad1, Hélio Amante Miot1
1Universidade Estadual Paulista "Júlio de Mesquita Filho" (Unesp) - Botucatu (SP), Brazil.
Anais Brasileiros De Dermatologia
|January 19, 2017
Summary
Palmar hyperhidrosis, excessive sweating of the hands, significantly impacts quality of life. This review covers its causes, diagnosis, and treatment options, including surgical interventions.
Area of Science:
- Medicine
- Physiology
- Surgery
Background:
- Palmar hyperhidrosis affects up to 3% of the population, causing excessive hand sweating unrelated to thermoregulation.
- This condition stems from localized hyperactivity within the sympathetic autonomic nervous system.
- Stressful events can trigger or exacerbate symptoms of palmar hyperhidrosis.
Purpose of the Study:
- To provide a comprehensive overview of palmar hyperhidrosis.
- To discuss the clinical presentation, pathophysiology, and diagnostic methods.
- To review current therapeutic strategies, encompassing both clinical and surgical approaches.
Main Methods:
- Literature review of clinical findings, pathophysiology, diagnostics, and therapeutics for palmar hyperhidrosis.
- Synthesis of information on the sympathetic autonomic nervous system's role.
- Analysis of established and emerging treatment modalities.
Main Results:
- Palmar hyperhidrosis is a distinct clinical entity with identifiable pathophysiological underpinnings.
- Diagnostic criteria focus on clinical presentation and exclusion of secondary causes.
- A range of treatments exist, from conservative management to surgical sympathectomy.
Conclusions:
- Effective management of palmar hyperhidrosis requires understanding its multifactorial nature.
- Both medical and surgical treatments offer viable options for patients.
- Further research can refine diagnostic accuracy and therapeutic outcomes for this quality-of-life impacting condition.
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