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Hyperhidrosis

Última revisão: 21 Jul 2025
Última atualização: 18 Jan 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • excessive palmar sweating
  • excessive plantar sweating
  • onset in early childhood or puberty
  • exacerbation of palmar sweating with use of hand lotion
  • severe facial sweating
  • severe axillary sweating
  • generalized sweating
Detalhes completos

Fatores de risco

  • family history
  • spicy foods
  • medications
  • endocrine disorders
  • cardiovascular diseases
  • hypoglycemia
  • menopause
  • infectious diseases
  • sepsis
  • neoplastic diseases
  • carcinoid tumors
  • neurologic injuries
  • obesity
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • starch-iodine test
  • gravimetry
  • thyroid function test
  • metabolic panel
  • 24-hour urine collection for catecholamines, metanephrines, normetanephrines
  • serum free metanephrines, normetanephrines
  • urine 5-hydroxyindoleacetic acid
  • chest x-ray
  • CT scans
Detalhes completos

Algoritmo de tratamento

AGUDA

primary: axillary hyperhidrosis

primary: palmar hyperhidrosis

primary: plantar hyperhidrosis

primary: craniofacial hyperhidrosis

secondary hyperhidrosis

Colaboradores

Autores

Fritz J. Baumgartner, MD
Fritz J. Baumgartner

Surgery Associates

Long Beach

Clinical Assistant Professor of Surgery

Division of Cardiothoracic Surgery

Harbor-UCLA Medical Center

Torrance

CA

Declarações

FJB is author of a number of references cited in this topic.

Revisores

Jane S. Bellet, MD

Professor of Pediatrics and Dermatology

Duke University School of Medicine

Durham

NC

Declarações

JSB declares that he has no competing interests.

Jonathan Villena-Vargas, MD

Assistant Professor of Cardiothoracic Surgery

Cardiothoracic Surgery Department

New York-Presbyterian/Weill Cornell Medical Center

NY

Declarações

JVV declares that he has no competing interests.

Alan Cameron, MA, MCh, FRCS

Consultant Surgeon

Ipswich Hospital NHS Trust

Ipswich

UK

Declarações

AC declares that he has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

International Hyperhidrosis Society. Clinical guidelines. 2018 [internet publication].Texto completo

International Hyperhidrosis Society. Diagnosis guidelines. 2018 [internet publication].Texto completo

Baumgartner FJ. Surgical approaches and techniques in the management of severe hyperhidrosis. Thorac Surg Clin. 2008 May;18(2):167-81. Resumo

McConaghy JR, Fosselman D. Hyperhidrosis: management options. Am Fam Physician. 2018 Jun 1;97(11):729-34.Texto completo  Resumo

Cerfolio RJ, De Campos JR, Bryant AS, et al. The Society of Thoracic Surgeons expert consensus for the surgical treatment of hyperhidrosis. Ann Thorac Surg. 2011 May;91(5):1642-8.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

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