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    1 OF 87

    [Modern non-cosmetic treatment with botulinum toxins].
    Internist (Berl) 2017 Oct 13. Epub 2017 Oct 13.
    Neurologische Klinik und Poliklinik, Klinikum der Universität, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
    Botulinum toxin has been known in medical history for a long time. The first scientific investigations and thoughts on possible indications in the treatment of muscular disorders were published by the German physician and poet Justinus Kerner in 1822. The physiological effect of botulinum toxin was identified in the middle of the twentieth century and the first clinical use was reported in 1977. Read More

    Evaluation of the quality of life of patients with primary hyperhidrosis submitted to videothoracoscopic sympathectomy.
    Rev Col Bras Cir 2017 Jul-Aug;44(4):323-327
    Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Departamento de Cirurgia Geral e Especializada, Mestrado Profissional em Técnicas Videoendoscópicas, Rio de Janeiro, RJ, Brasil.
    Objective: to evaluate the quality of life of patients undergoing video-assisted thoracoscopy for primary hyperhidrosis.

    Methods: we evaluated the patients who underwent thoracoscopic sympathectomy to treat primary hyperhidrosis by the team of thoracic surgery at the University Hospital Gaffrée and Guinle - UNIRIO between July 2004 and August 2013. It was applied a questionnaire about quality of life related to hyperhidrosis since preoperative period until one year after the surgery. Read More

    Epidemiology of Hyperhidrosis in Two Population-Based Healthcare Databases.
    J Am Acad Dermatol 2017 Oct 6. Epub 2017 Oct 6.
    Epidemiology Associates, LLC Chapel Hill, NC, USA. Electronic address:
    Background: Population-based and clinical case reports of hyperhidrosis (HH) provide prevalence estimates that vary widely across reported studies due to differences in case ascertainment.

    Objective: In this study, we specify diagnosis, symptom, and prescription codes for HH in order to estimate incidence and prevalence for the United Kingdom and the United States.

    Methods: Data from U. Read More

    T3 versus T4 thoracoscopic sympathectomy for palmar hyperhidrosis: a meta-analysis and systematic review.
    J Surg Res 2017 Oct 15;218:124-131. Epub 2017 Jun 15.
    Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China. Electronic address:
    Background: Palmar hyperhidrosis (PH) is a benign sympathetic disorder that can adversely affect the quality of life of patients. Thoracic sympathectomy (TS) at the T3 or T4 level has been used to treat PH. We aimed to determine the optimal denervation level for TS by comparing the efficacy of T3 TS versus T4 TS in PH patients. Read More

    Resolution of generalized compensatory hyperhidrosis related to sympathectomy, after T2 sympatholysis.
    Eur J Cardiothorac Surg 2017 Jul 21. Epub 2017 Jul 21.
    Division of Vascular and Interventional Radiology, Department of Radiology, The Johns Hopkins University, Baltimore, MD, USA.
    Compensatory hyperhidrosis (CH) is common after sympathectomy, and most treatments are ineffective. We present a 36-year-old man whose CH was effectively treated with percutaneous sympatholysis. The patient's axillary-palmar hyperhidrosis had been treated with T3-4 sympathetic ligation. Read More

    Acromegaly with hypophosphataemia: McCune-Albright syndrome.
    BMJ Case Rep 2017 Sep 28;2017. Epub 2017 Sep 28.
    Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
    A 38-year-old man presented with excessive height gain and progressive enlargement of the extremities since childhood. This was compounded by lower limb deformities over the past 5 years. On examination, his height was 196 cm, he had macroglossia, acral enlargement, seborrhoea, hyperhidrosis-suggesting acrogigantism. Read More

    A novel method to assess the potential role of sweating abnormalities in the pathogenesis of AD.
    Exp Dermatol 2017 Sep 23. Epub 2017 Sep 23.
    Department of Dermatology, Kyorin University School of Medicine, Mitaka city, Tokyo, Japan.
    Background: Although atopic dry skin is believed to be caused by defects in skin genes important for maintaining skin barrier function, the role of sweat in atopic dermatitis (AD) has been apparently underestimated. Given the great capacity of sweat to maintain and increase skin hydration, defective sweating responses may be a logical place to look for changes that predispose individuals to the disease.

    Methods: We investigated how disease process and sweating defects progress from early asymptomatic stages to the onset of clinically apparent disease by employing the impression mold technique, which allows an accurate quantification of individual sweat gland/duct activity in relation to skin surface topography. Read More

    Quantity and quality of sweating in atopic dermatitis.
    Arch Dermatol Res 2017 Sep 21. Epub 2017 Sep 21.
    Department of Dermatology, Municipal Hospital Hietzing, Wolkersbergenstraße 1, 1130, Vienna, Austria.
    Sweat may be an important factor in triggering an exacerbation of atopic dermatitis. It was the aim of this study to evaluate a possible correlation between atopic patients and hyperhidrosis-measured by a questionnaire-and to find out whether there are qualitative differences in sweat response-measured by sudomotor activity (sympathetic skin response test, SSR). Included were 100 study participants, of whom 50 were patients with atopic dermatitis and 50 were serving as control group. Read More

    Risk reduction of long-term major adverse cardiovascular events after endoscopic thoracic sympathectomy in palmar hyperhidrosis.
    Clin Auton Res 2017 Sep 19. Epub 2017 Sep 19.
    Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, 7115R, No.325, Section 2, Cheng-Kung Road, Neihu District, Taipei City, 11490, Taiwan, ROC.
    Purpose: Palmar hyperhidrosis (PH) is excessive sweating of the palms resulting from sympathetic overactivity, and patients who undergo endoscopic thoracic sympathectomy (ETS) show reduced cardiac demand after 1 year and improved cerebral perfusion within 2-4 weeks. However, the long-term risks of major adverse cardiovascular events (MACE) following ETS remain unclear.

    Methods: We searched the Longitudinal National Health Insurance Database in Taiwan and identified PH patients (International Classification of Disease, Ninth Revision, Clinical Modification diagnostic code 708. Read More

    Pitted keratolysis - a study of various clinical manifestations.
    Int J Dermatol 2017 Nov 18;56(11):1154-1160. Epub 2017 Sep 18.
    Department of Dermatology, Venereology and Leprology, H.B.T. Medical College and Dr. R.N. Cooper Hospital, Mumbai, Maharashtra, India.
    Background: Pitted keratolysis (PK) is a common bacterial infection of skin characterized by noninflammatory superficial pits. Very few studies have focused on variations in clinical manifestations of PK. We conducted this study so that diagnosis of this treatable condition is not missed when it presents in an uncommonly perceived way. Read More

    Pachydermoperiostosis: The value of molecular diagnosis.
    Ann Dermatol Venereol 2017 Sep 12. Epub 2017 Sep 12.
    Department of Dermatology, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France; MAGEC, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address:
    Background: Pachydermoperiostosis is a rare autosomal recessive genetic disorder characterized by the association of periostosis and pachydermia. To date, two genes involved in prostaglandin metabolism, HPGD and SLCO2A1, have been identified.

    Patients And Methods: A 7-year-old girl presented digital clubbing of the hands and feet, curved nails, hyperhidrosis, and pachydermia, as well as eczema of the trunk and limbs. Read More

    The effect of liner design and materials selection on prosthesis interface heat dissipation.
    Prosthet Orthot Int 2017 Sep 1:309364617729923. Epub 2017 Sep 1.
    1 University College London, London, UK.
    Background And Aim: Thermal discomfort often affects prosthesis wearers and could be addressed by increasing liner thermal conductivity. This note explores a liner made from thermally conductive silicone and two additional alternative liner designs.

    Technique: Thermally conductive silicone was used to create a conductive liner and a hybrid liner. Read More

    Meta-analysis: Risk of hyperhidrosis with second-generation antidepressants.
    Depress Anxiety 2017 Sep 7. Epub 2017 Sep 7.
    Department of Psychiatry, Yale University, New Haven, CT, USA.
    Background: Our goal was to quantify the risk of hyperhidrosis associated with commonly used antidepressant agents and examine the impact of medication class, pharmacodynamics, and dose on risk of hyperhidrosis.

    Methods: We conducted a PubMed search to identify all double-blind, randomized, placebo-controlled trials examining the efficacy of second-generation antidepressant medications in the treatment of adults with a depressive disorder, anxiety disorders, or obsessive-compulsive disorder. We used a random-effects meta-analysis to examine the pooled risk ratio of hyperhidrosis reported as a side effect in adults treated with second-generation antidepressants compared to placebo. Read More

    Does endoscopic thoracic sympathectomy through clipping procedure have early effects on electrocardiographic parameters?
    Indian J Med Res 2017 Apr;145(4):498-502
    Department of Thoracic Surgery, GATA Haydarpasa Training Hospital, Istanbul, Turkey.
    Background & Objectives: Hyperhidrosis is a pathologic condition of excessive sweating in amounts greater than physiologic needs. Endoscopic thoracic sympathectomy (ETS) is a globally accepted treatment modality for primary palmar and axillary hyperhidrosis. ETS also has distinctive effects on the heart, circulatory and respiratory systems. Read More

    Recovery of sympathetic nerve function after lumbar sympathectomy is slower in the hind limbs than in the torso.
    Neural Regen Res 2017 Jul;12(7):1177-1185
    The Graduate School of Southern Medical University, Guangzhou, Guangdong Province, China.
    Local sympathetic denervation by surgical sympathectomy is used in the treatment of lower limb ulcers and ischemia, but the restoration of cutaneous sympathetic nerve functions is less clear. This study aims to explore the recovery of cutaneous sympathetic functions after bilateral L2-4 sympathectomy. The skin temperature of the left feet, using a point monitoring thermometer, increased intraoperatively after sympathectomy. Read More

    Botulinum neurotoxin injection for the treatment of epiphora in nasolacrimal duct obstruction.
    J Fr Ophtalmol 2017 Oct 25;40(8):661-665. Epub 2017 Aug 25.
    Department of Neuroradiology, Quinze-Vingts National Hospital of Ophthalmology, 28, rue de Charenton, 75012 Paris, France.
    Purpose: Retrospective long-term study to evaluate the efficacy of botulinum neurotoxin A (BoNT/A) therapy for epiphora due to non-surgical nasolacrimal duct obstruction.

    Introduction: BoNT/A has been used successfully since 2000 in axillary hyperhidrosis to reduce secretory disorders. Some isolated cases of hyperlacrimation or crocodile tear syndrome have been treated on this basis. Read More

    A case report: Glycopyrrolate for treatment of exercise-induced hyperhidrosis.
    SAGE Open Med Case Rep 2017 8;5:2050313X17721601. Epub 2017 Aug 8.
    Sports Medicine Clinic, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
    Objective: Hyperhidrosis can cause dehydration and exercise intolerance. There are several case reports of extremely high sweat rates in athletes. We present as case report of a 17-year-old male with the highest sweat rate recorded in the literature (5. Read More

    Iodine-Starch test for assessment of hyperhidrosis in amputees, evaluation of different methods of application.
    Disabil Rehabil 2017 Aug 21:1-5. Epub 2017 Aug 21.
    a Division of Physical Medicine and Rehabilitation , University of Utah School of Medicine , Salt Lake City , UT , USA.
    Purpose: Hyperhidrosis is a common problem for amputees. The iodine-starch test is frequently used to assess hyperhidrosis, but a method for its application has not been described for amputees.

    Methods: We performed an unblinded comparison of the iodine-starch test using various methods to protect the prosthesis in 10 prosthetic limb users with hyperhidrosis. Read More

    The Etiology of Primary Hyperhidrosis: A Systematic Review.
    Clin Auton Res 2017 Aug 19. Epub 2017 Aug 19.
    Department of Cardiothoracic Surgery, Odense University Hospital, Odense, 5000, Denmark.
    Purpose: Primary hyperhidrosis is a pathological disorder of unknown etiology, affecting 0.6-5% of the population, and causing severe functional and social handicaps. As the etiology is unknown, it is not possible to treat the root cause. Read More

    The curative effect of liposuction curettage in the treatment of bromhidrosis: A meta-analysis.
    Medicine (Baltimore) 2017 Aug;96(33):e7844
    aDepartment of Plastic Surgery, China-Japan Union Hospital, Jilin University, Changchun bDepartment of Orthopaedics, Second Affiliated Hospital of Jilin University, Changchun, Jilin Province, China.
    Background: We aimed to understand the curative effect of liposuction curettage (LC) in the treatment of bromhidrosis.

    Methods: Relevant studies published before January 2017were searched from the PubMed, Embase, Cochrane Library, Wanfang, VIP, and China National Knowledge Infrastructure databases. Parameters including recurrence, complications, complete response, and overall response were assessed. Read More

    A novel organotypic 3D sweat gland model with physiological functionality.
    PLoS One 2017 10;12(8):e0182752. Epub 2017 Aug 10.
    Henkel AG & Co. KGaA, Düsseldorf, Germany.
    Dysregulated human eccrine sweat glands can negatively impact the quality-of-life of people suffering from disorders like hyperhidrosis. Inability of sweating can even result in serious health effects in humans affected by anhidrosis. The underlying mechanisms must be elucidated and a reliable in vitro test system for drug screening must be developed. Read More

    Keratin 17 Mutations in Four Families from India with Pachyonychia Congenita.
    Indian J Dermatol 2017 Jul-Aug;62(4):422-426
    School of Life Sciences, Division of Biological Chemistry and Drug Discovery, Dermatology and Genetic Medicine, University of Dundee, Dundee, UK.
    Pachyonychia congenita (PC) is a rare autosomal dominant genetic skin disorder due to a mutation in any one of the five keratin genes, KRT6A, KRT6B, KRT6C, KRT16, or KRT17. The main features are palmoplantar keratoderma, plantar pain, and nail dystrophy. Cysts of various types, follicular hyperkeratosis, oral leukokeratosis, hyperhidrosis, and natal teeth may also be present. Read More

    Acquired Ulcero-Mutilating Bilateral Acro-Osteopathy (Bureau-Barrière Syndrome).
    Open Access Maced J Med Sci 2017 Jul 24;5(4):558-560. Epub 2017 Jul 24.
    Abdominal and Thoracic Surgery, Department of Special Surgery, Medical University of Plovdiv, bul. "Peshtersko shose" Nr 66, 4000 Plovdiv, Bulgaria.
    We present a 35-year-old male patient with Bureau-Barrière syndrome. Bureau-Barrière syndrome is an ulcero-mutilating acropathy almost invariably associated with excessive alcohol intake. It presents with a triad of trophic skin changes with recurrent ulcerations, bone lesions and nerve damage. Read More

    Hyperhidrosis Substantially Reduces Quality of Life in Children: A Retrospective Study Describing Symptoms, Consequences and Treatment with Botulinum Toxin.
    Acta Derm Venereol 2017 Aug 1. Epub 2017 Aug 1.
    Hidrosis Clinic, Warfvinges väg 35, SE-112 51 Stockholm, Sweden.
    Studies on children with hyperhidrosis are sparse. This retrospective study presents clinical data and quality of life, along with treatment effect and safety of botulinum toxin (BTX). Case reports from 366 children were included to capture the medical history of hyperhidrosis. Read More

    Strategies to decrease injection site pain in botulinum toxin therapy.
    J Neural Transm (Vienna) 2017 Jul 24. Epub 2017 Jul 24.
    Movement Disorders Section, Department of Neurology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
    Botulinum toxin is now used for numerous indications including dystonias, spasticity, cerebral palsy, hyperhidrosis, cosmetics and chronic migraine. It has to be injected into its target tissues thus causing injection site pain. We wanted to compare the efficacy of various analgesic interventions suggested for reduction of injection site pain. Read More

    Sequential Extended Thoracoscopic Sympathicotomy for Palmo-Axillo-Plantar Hyperhidrosis.
    Ann Thorac Surg 2017 Oct 18;104(4):1200-1207. Epub 2017 Jul 18.
    General Surgery Department, Mansoura University, Egypt.
    Background: Palmo-axillo-plantar hyperhidrosis (HH) exists in approximately 70% to 100% of patients complaining of HH. Many studies have documented variable effects of thoracoscopic sympathicotomy (TS) on plantar sweating. The present trial evaluated sequential extended thoracoscopic sympathicotomy for the treatment of palmo-axillo-plantar HH regarding its feasibility and outcome on each domain of HH, particularly the plantar domain METHODS: Forty-two patients with severe palmo-axillo-plantar HH underwent sequential extended (T3 to T12) thoracoscopic sympathicotomy. Read More

    [Evaluation and management of hyperhidrosis].
    Rev Med Suisse 2017 Mar;13(556):710-714
    Service de dermatologie et vénéréologie, HUG, 1211 Genève 14.
    Hyperhidrosis is excessive sweating beyond what is expected for thermoregulatory needs. Nearly 3 % of the population has hyperhidrosis. It may be primary or secondary to medications or general medical conditions, including diabetes mellitus, hyperthyroidism, Parkinson disease, etc. Read More

    Interventions for treating lymphocytic colitis.
    Cochrane Database Syst Rev 2017 07 13;7:CD006096. Epub 2017 Jul 13.
    London Health Sciences Centre - Victoria Hospital, Room E6-321A, 800 Commissioners Road East, London, ON, Canada, N6A 5W9.
    Background: Lymphocytic colitis is a cause of chronic diarrhea. It is a subtype of microscopic colitis characterized by chronic, watery, non-bloody diarrhea and normal endoscopic and radiologic findings. The etiology of this disorder is unknown. Read More

    Video-Assisted Thoracoscopic Sympathectomy for Facial Hyperhidrosis: The Influence of the Main Site of Complaint.
    Ann Vasc Surg 2017 Jul 6. Epub 2017 Jul 6.
    Division of Vascular and Endovascular Surgery, Hospital Israelita Albert Einstein, São Paulo, São Paulo, Brazil; Division of Vascular and Endovascular Surgery, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
    Introduction: Facial hyperhidrosis (FH) may lead patients to a significantly impaired quality of life (QOL). Video-assisted thoracoscopic sympathectomy (VATS) is reserved for more severe cases refractory to common first-line agents. The aim of this study was to evaluate the efficacy of VATS for FH and to compare the results between patients with facial hyperhidrosis as main complaint (FHMC) and patients with facial hyperhidrosis as nonmain complaint (FHNMC). Read More

    Brachial plexus injury after microwave-based treatment for axillary hyperhidrosis and osmidrosis.
    J Cosmet Laser Ther 2017 Nov 28;19(7):439-441. Epub 2017 Jun 28.
    a Department of Plastic Surgery , Tri-Service General Hospital , Taipei , Taiwan.
    Axillary hyperhidrosis combined with osmidrosis is a common problem, especially in Asian communities, that patients find annoying. Even though several surgical techniques have been reported to treat hyperhidrosis/osmidrosis permanently, patients would prefer a non-surgical approach. A microwave-based device was invented during this decade, and it has proven to be a safe and efficient way to treat axillary hyperhidrosis/osmidrosis without major complications. Read More

    Topical Oxybutynin 10% Gel for the Treatment of Primary Focal Hyperhidrosis: A Randomized Double-blind Placebo-controlled Split Area Study.
    Acta Derm Venereol 2017 Oct;97(9):1120-1124
    Department of Dermatology, Tel Aviv Medical Center, 6 Weizman Street, Tel Aviv, 6423906, Israel.
    Limited efficacy, costs, side-effects and complications are issues of concern for most current therapeutic modalities for focal hyperhidrosis. This study evaluated the efficacy of topical oxybutynin 10% gel in treating 61 patients with primary focal hyperhidrosis. The gel was applied to the right or left axilla, palms or soles vs. Read More

    Klippel-Trenauney syndrome with axillary hyperhidrosis.
    Dermatol Online J 2017 Jun 15;23(6). Epub 2017 Jun 15.
    MD Program, Tufts University School of Medicine, Boston, Massachusetts,.
    Klippel-Trenaunay syndrome (KTS) is a rare, clinically variable congenital disorder involving capillary malformations, soft tissue or bone hypertrophy, and venous malformations or varicose veins. We report a 28-year-old man who presented with a hypertrophic right arm as well as markedly increased ipsilateral axillary hyperhidrosis and erythematous patches on the back, chest, and arm. This case of KTS is unusual because our patient presented with a markedly increased unilateral axillary hyperhidrosis ipsilateral to the hypertrophic limb. Read More

    Early-Onset Shapiro Syndrome Variant Treated with Pizotifen: A Case Report.
    Neurodiagn J 2017 ;57(2):139-146
    a Child Neuropsychiatry Unit , Giannina Gaslini Pediatric Institute , Genoa , Italy.
    Shapiro Syndrome is a rare entity defined by the triad of recurrent spontaneous hypothermia, hyperhidrosis, and agenesis of the corpus callosum. Fewer than 100 cases have been reported so far and there are only few cases without a complete agenesis of corpus callosum ("Shapiro Syndrome Variant"). In this article, we report the clinical, electroencephalographic, and neuroimaging data of a patient with early-onset Shapiro Syndrome Variant. Read More

    Skin findings in autoimmune and nonautoimmune thyroid disease with respect to thyroid functional status and healthy controls.
    Turk J Med Sci 2017 Jun 12;47(3):764-770. Epub 2017 Jun 12.
    Department of Dermatology, İstanbul Medeniyet University, Göztepe Research and Training Hospital, İstanbul, Turkey.
    Background/aim: Thyroid disorders are associated with a wide variety of skin disorders that respond to treatment of hormone imbalance in most cases and thus are of vital importance to dermatologists. This study aimed to evaluate skin findings associated with autoimmune and nonautoimmune thyroid disease with respect to thyroid functional status and healthy controls.

    Materials And Methods: A total of 300 consecutive patients with either autoimmune (n = 173) or nonautoimmune (n = 127) thyroid disease and 100 healthy control subjects were included in this cross-sectional study. Read More

    Botulinum Toxin Off-Label Use in Dermatology: A Review.
    Skin Appendage Disord 2017 Mar 1;3(1):39-56. Epub 2017 Feb 1.
    Dermatology Unit, Department of Clinical and Molecular Sciences, United Hospital of Ancona, Polytechnic Marche University, Ancona, Italy.
    Background: Botulinum toxin is a neurotoxin produced by the bacterium Clostridium botulinum which causes a flaccid muscle paralysis. It is currently used for aesthetic treatments and in the focal hyperhidrosis. Recently, botulinum toxin has also been used experimentally in many other dermatological conditions with good results. Read More

    [Assessment of the radial and ulnar arteries hemodynamic changes by ultrasound in patients with primary palmar hyperhidrosis after thoracic sympathetic block].
    Zhonghua Yi Xue Za Zhi 2017 Jun;97(22):1729-1733
    Department of Anesthesiology and Pain Medicine, the First Hospital of Jiaxing City, Zhejiang Province, Jiaxing 314001, China.
    Objective: To evaluate the value of radial and ulnar arteries hemodynamic changes by ultrasound in patients with primary palmar hyperhidrosis after thoracic sympathetic block. Methods: This was a prospective study, from January 2016 to September 2016, 23 patients with primary palmar hyperhidrosis were admitted to the First Hospital of Jiaxing City, Zhejiang Province, 92 arteries of these patients who underwent thoracic sympathetic block were enrolled into this study. Diameters, peak systolic velocity (PSV), end diastolic velocity (EDV) and resistive index (RI) of the radial and ulnar arteries were examined one day before and after the operation by color Doppler ultrasound. Read More

    The impact of hyperhidrosis on patients' daily life and quality of life: a qualitative investigation.
    Health Qual Life Outcomes 2017 Jun 8;15(1):121. Epub 2017 Jun 8.
    Institute of Medicines Development, Duffryn House, Cardiff, CF, 23 6NP, UK.
    Background: An understanding of the daily life impacts of hyperhidrosis and how patients deal with them, based on qualitative research, is lacking. This study investigated the impact of hyperhidrosis on the daily life of patients using a mix of qualitative research methods.

    Methods: Participants were recruited through hyperhidrosis patient support groups such as the Hyperhidrosis Support Group UK. Read More

    Dependent Erythema of the Legs Associated With Mild Autonomic Nervous System Dysfunction.
    J Cutan Med Surg 2017 Jun 1:1203475417714801. Epub 2017 Jun 1.
    2 Department of Medicine, Memorial University, St John's, NL, Canada.
    Introduction: Dependent erythema or rubor is an erythematous discoloration of the limbs, most commonly associated with peripheral artery disease. We present a case of florid dependent erythema, associated with additional autonomic symptoms.

    Methods: Examination and full workup of a 16-year-old healthy girl with an 8-year history of dependent erythema, chronic diarrhea, and mild hyperhidrosis. Read More

    Comparison of the Long-Term Results of R3 and R4 Sympathicotomy for Palmar Hyperhidrosis.
    Korean J Thorac Cardiovasc Surg 2017 Jun 5;50(3):197-201. Epub 2017 Jun 5.
    Department of Thoracic and Cardiovascular Surgery, Yeungnam University College of Medicine.
    Background: Video-assisted thoracoscopic sympathicotomy has been determined to be the best way to treat palmar hyperhidrosis. However, satisfaction with the surgical outcomes decreases with the onset of compensatory hyperhidrosis (CH) over time. The ideal level of sympathicotomy is controversial. Read More

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