Tropical dyshidrosis

Introduction to poor tropical sweating Tropical malnutrition (tropicaldyshidrosisasthenia) is not accustomed to the tropical climate causing persistent sweat pore occlusion, a series of symptoms and signs, the disease is rare. Foreign countries were first reported by Allen and O'Brine in 1994, and there were only a few domestic reports. basic knowledge The proportion of illness: 0.002% Susceptible people: no special people Mode of infection: non-infectious Complications: heart failure

Causes of poor tropical sweating

Causes:

People who are not used to the tropical climate may sweat more, and afterwards, the face and neck are still sweaty and the body sweating is reduced or stopped.

Pathogenesis:

The deep sweat tube is blocked, the sweat gland loses its function, and the sweat on the face and neck is compensatory acceleration to maintain the balance of heat regulation in the body.

Tropical sweating prevention

1. Maintain an optimistic and happy mood. Long-term mental stress, anxiety, irritability, pessimism and other emotions will make the balance of the cerebral cortex excitatory and inhibition process imbalance, so you need to maintain a happy mood.

2, life restraint pay attention to rest, work and rest, life orderly, maintain an optimistic, positive, upward attitude towards life. Do the regularity of tea and rice, live daily, not overworked, open-minded, and develop good habits.

3, reasonable diet can eat more high-fiber and fresh vegetables and fruits, balanced nutrition, including protein, sugar, fat, vitamins, trace elements and dietary fiber and other essential nutrients, meat and vegetables, diversified food varieties, Give full play to the complementary role of nutrients in food.

Tropical sweating adverse complications Complications heart failure

The disease is not able to hair due to sweat, and the tropical environment is usually relatively high, so it can cause fever of the body, and even the body temperature exceeds 41 degrees Celsius. As the heart rate increases and the breathing increases, when the heart rate exceeds 180 beats/min, the diastolic period may be insufficient, resulting in diastolic heart failure. Excessive breathing causes excessive CO2 excretion, resulting in respiratory alkalosis.

Symptoms of tropical sweating Common symptoms Sweating abnormal nausea and fatigue, body sweating, dizziness, fatigue, high fever, scaly edema, urgency

1. The patient feels extremely tired when working in the summer sun or in a hot environment, and the sweat is abnormal.

2. Gradually onset, usually begin to sweat for a few days or weeks, only after seeing the face, neck, armpits, perianal and other parts of the sweat, especially in the face, sweating, other parts Sweat, the skin in the sweat area is warm, dry, and often has a rash.

3. There are 3 types of rash: miliary papules, cholinergic urticaria, diffuse edema, type 3 can appear alone or at the same time, miliary papules have fine scales.

4. Systemic symptoms: There is general weakness, palpitation, dizziness, nausea, shortness of breath, sultry heat, generally no high fever and coma, pilocarpine test does not cause sweating.

Poor tropical sweating check

1. Pulse check: It is an auxiliary test method for checking whether the pulse is normal. The contents of the pulse test include: checking the rate, rhythm, tension, strength, waveform, and arterial wall of the pulse. Through this examination, the lesion and the corresponding symptoms can be judged.

2. Blood pressure check: The blood pressure in the lying position, sitting position, and standing position is an auxiliary test method for checking whether the blood pressure is normal.

Diagnosis and diagnosis of poor tropical sweating

diagnosis

It is not difficult to diagnose typical clinical manifestations based on the disease environment, location, systemic symptoms and rash.

TCM pathogenesis and syndrome differentiation: "Su Wen asked the pain theory" said: " , , Burnout, upset, dizziness, shortness of breath, chest tightness and other symptoms.

Differential diagnosis

Sudden onset of heat stroke, severe systemic symptoms, rapid pulse, blood pressure, skin cold, body temperature is not rising or only slightly hot, generally no rash.

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