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
Fatores de risco
- family history
- spicy foods
- medications
- endocrine disorders
- cardiovascular diseases
- hypoglycemia
- menopause
- infectious diseases
- sepsis
- neoplastic diseases
- carcinoid tumors
- neurologic injuries
- obesity
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
Algoritmo de tratamento
primary: axillary hyperhidrosis
primary: palmar hyperhidrosis
primary: plantar hyperhidrosis
primary: craniofacial hyperhidrosis
secondary hyperhidrosis
Colaboradores
Autores
Fritz J. Baumgartner, MD

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
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.
Diretrizes
- About hyperhidrosis: diagnosis guidelines
- About hyperhidrosis: clinical guidelines
Mais DiretrizesConectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal