Symptom >> Internal Medicine >> Neurology

Sweaty palms of armpits

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction It is a disease caused by excessive secretion of sweat glands caused by excessive sympathetic stimulation. Sympathetic innervation dominates the body's sweating. Under normal circumstances, the sympathetic nerve regulates the body's body temperature by controlling sweating, but the patient's sweating and facial flushing completely lose normal control. Hyperhidrosis and facial flushing make the patient daily. In helplessness, anxiety or panic.

Cause

Cause

The cause of sweating in the palm of your hand:

Hyperhidrosis is caused by excessive secretion of small sweat glands, which is characterized by excessive sweating abnormally in the whole body (general hyperhidrosis) or local (localized hyperhidrosis). Hyperhidrosis can be secondary to certain neurological diseases, metabolic diseases, endocrine disorders, tumors, drugs, etc., called secondary hyperhidrosis; the cause of primary hyperhidrosis is unknown, the most common site is palm , armpits and soles, occasionally occur in the head and neck, trunk and calves. The age of onset is mostly from the beginning of childhood, to adolescents with aggravation and lifelong. When the condition is serious, it not only affects the work, life and study of patients, but also causes psychological barriers for patients, and does not dare to participate in normal social activities. Although traditional treatments are numerous, they are often difficult to work with, including astringents, antiperspirants, sedatives, hypnotherapy, psychotherapy, iontophoresis, and acupuncture. Thoracic sympathetic ganglia or sympathetic trunk resection is currently the only effective and long-lasting method for treating hyperhidrosis. However, it has been difficult to accept patients with bilateral trauma and large incision scars and incision scars. At present, the thoracoscopic thoracic sympathectomy performed by the Department of Thoracic Surgery of the Beijing Military Region General Hospital has small trauma, good exposure, accurate positioning, safety and reliability, rapid postoperative recovery, satisfactory and long-lasting results, and can complete bilateral surgery at the same time. Patients are happy. accept. So far, the hospital has successfully performed video-assisted thoracoscopic thoracic sympathectomy for several patients. The symptoms of hyperhidrosis disappeared immediately after surgery, and were discharged in 2-3 days without complications. After the follow-up, all patients were able to participate in normal work and study after discharge. There was no recurrence and the results were satisfactory. In short, video-assisted thoracoscopic thoracic sympathectomy is currently the safest and most effective means of treating hyperhidrosis. Systemic hyperhidrosis can be an abnormal physiological reaction, or certain diseases such as hyperthyroidism, diabetes, etc. One of the symptoms. Local hyperhidrosis may result in increased secretion of choline acetate due to sympathetic nerve damage or abnormal reaction, resulting in excessive sweat secretion by the small sweat glands.

Hyperhidrosis can be roughly divided into three categories from the cause of the disease. First, due to systemic diseases, such as endocrine disorders (hyperthyroidism, diabetes, hypertrophic pituitary, etc.), nervous system diseases, some infectious diseases (malaria, tuberculosis, etc.) and long-term illness caused by physical weakness. As long as these systemic diseases are controlled, hyperhidrosis can be resolved. Second, mental sweating, due to high tension and emotional agitation, is caused by sympathetic disorders, oral administration of some sedatives (such as atropine, Prubensin, belladonna mixture, etc.) has a temporary effect, but there are mouths Dry and other side effects. The third is taste sweating, which belongs to another physiological phenomenon, such as sweating caused by eating some irritating foods (chili, garlic, ginger, cocoa, coffee). This kind of situation generally does not need treatment, only need to avoid .

Examine

an examination

Related inspection

Endocrine function test

Examination and diagnosis of sweating in the palm of your hand:

There is currently no uniform diagnostic criteria for hyperhidrosis. In 2004, John Hornberger of the American Dermatological Association organized a collaborative group of more than 20 unit experts to develop a diagnostic reference standard.

No obvious cause can be confirmed by visible hyperglycemia in the naked eye for more than 6 months and meet the following conditions:

(1) Symmetrical bilateral sweating sites.

(2) At least once a week.

(3) The age of onset is less than 25 years old.

(4) Have a positive family history.

(5) No sweat during sleep.

(6) Affect daily work and life.

If accompanied by fever, night sweats, weight loss, attention should be paid to the possibility of secondary hyperhidrosis.

Diagnosis

Differential diagnosis

Symptoms of sweating and confusing in the palm of your hand:

(1) Localized hyperhidrosis: often begins in children or adolescence, both men and women can have a family history, can last for several years, and after a 25-year-old there is a natural alleviation of localized hyperhidrosis. The site is palmar and rubbing surfaces such as underarms, groin, perineum, followed by forehead nose and chest. The sweating of the palmar sputum can be sustained or transient, caused by mood fluctuations. There is no seasonal difference. The coldness of the hands and feet or even the convulsions often occur. The long-term can be accompanied by keratosis of the hands and feet. The sweating of the ankles can be induced by heat or mental activity. The excessive sweating of the underarm is caused by the excessive activity of the small sweat glands, which is not caused by the axillary odor.

(2) Generalized hyperhidrosis: Mainly due to other diseases, widespread sweating, like infectious hyperthermia, due to regulation of the nervous system or oral antipyretic to sweat to dissipate heat. Other damages such as the central nervous system including the cortex and basal ganglia, the spinal cord or peripheral nerves can cause excessive sweating throughout the body.

According to the clinical manifestations, the characteristics of hyperhidrosis can be diagnosed.