Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- sudorese palmar excessiva
- sudorese plantar excessiva
- início na primeira infância ou na puberdade
- exacerbação da sudorese palmar com o uso de creme para as mãos
- sudorese facial intensa
- sudorese axilar intensa
- sudorese generalizada
Risk factors
- história familiar
- alimentos picantes
- medicações
- endocrinopatias
- doenças cardiovasculares
- hipoglicemia
- menopausa
- doenças infecciosas
- sepse
- doenças neoplásicas
- tumores carcinoides
- lesões neurológicas
- obesidade
Diagnostic tests
Tests to consider
- teste do iodo-amido
- gravimetria
- teste da função tireoidiana
- perfil metabólico
- coleta de urina de 24 horas para catecolaminas, metanefrinas e normetanefrinas
- soro livre de metanefrinas, normetanefrinas
- ácido 5-hidroxindolacético urinário
- radiografia torácica
- tomografia computadorizada
Treatment algorithm
primária: hiperidrose axilar
primária: hiperidrose palmar
primária: hiperidrose plantar
primária: hiperidrose craniofacial
hiperidrose secundária
Contributors
Authors
Fritz J. Baumgartner, MD
Surgery Associates
Long Beach
Clinical Assistant Professor of Surgery
Division of Cardiothoracic Surgery
Harbor-UCLA Medical Center
Torrance
CA
Disclosures
FJB is author of a number of references cited in this topic.
Peer reviewers
Jane S. Bellet, MD
Professor of Pediatrics and Dermatology
Duke University School of Medicine
Durham
NC
Disclosures
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
Disclosures
JVV declares that he has no competing interests.
Alan Cameron, MA, MCh, FRCS
Consultant Surgeon
Ipswich Hospital NHS Trust
Ipswich
UK
Disclosures
AC declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
International Hyperhidrosis Society. Clinical guidelines. 2018 [internet publication].Full text
International Hyperhidrosis Society. Diagnosis guidelines. 2018 [internet publication].Full text
Baumgartner FJ. Surgical approaches and techniques in the management of severe hyperhidrosis. Thorac Surg Clin. 2008 May;18(2):167-81. Abstract
McConaghy JR, Fosselman D. Hyperhidrosis: management options. Am Fam Physician. 2018 Jun 1;97(11):729-34.Full text Abstract
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- About hyperhidrosis: diagnosis guidelines
- About hyperhidrosis: clinical guidelines
More Guidelines
Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer