23 de Maio de 2022 - 09:22
Medical Reference
[-] Hyper-Hidrosis
Symptoms / Limitations
Surgical Treatment
Collateral Effects
Bibliographic References
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Clinic Of The Thorax
Idioma - Inglês
Hyperhidrosis - Excessive perspiration

Frequently the doctor, DERMATOLOGIST, sometimes NEUROLOGIST or ENDOCRINOLOGIST, prescribes tranquilizers, sedatives or antidepressants depending on the evaluation about the influence psychological factors may have on the disease.

Anticholinergic drugs like propantheline and oxifencyclimine (?) are prescribed by oral intake, but side effects are frequent and results are unsatisfactory and limited. Local treatment with anhidrotic drugs such aluminium chloride, formaldehyde and derived have been used without desired results.

Patients come for a consultation after trying several creams, deodorants, etc. Homeopathic, orthomolecular, acupuncture and other alternative treatments are ineffective. Psychological and psychotherapic treatments may help but are palliative, so they should be used as a support.
IONTOPHORESIS is the introduction of ions by electric instruments. The treatment requires one application a day for 30 days. A long treatment and the results are temporary and unsatisfactory.

BOTOX (BOTULIN TOXIN) applications have a consecrated use in several situations in esthetic medicine, otorhinolaryngology, etc. In treating hyperhidrosis, its benefits, according to our observation, are partial, unsatisfactory and temporary. The application on the hands is painful and the benefits last 5 to 6 months. The best results are attained in axillar hyperhidrosis, being this, its main indication, especially in recent onsets. It permits patients to postpone surgery or avoid it.

SKIN WITH SWEAT GLANDS RESECTION is done in axillar hyperhidrosis, has a limited indication because the possibility of cicatricial skin retraction on the axillar area diminishes the shoulder and arm mobility. The results are unsatisfactory and recurrences are frequent.

LIPOASPIRATION in axillar area has its limitations because the sweat glands are located above the fat layer and are not removed in this procedure. Recently, the use of aspiratory curettage of the axillar region has been reported.
Clínica do Tórax - Av. Comendador Franco, 2429 - Curitiba - PR
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