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Sweaty armpits

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction There are two types of human sweat glands, one is small, distributed in the whole body, the main function is to perspire and regulate body temperature; the other large gland, called the parietal gland, is distributed in special areas such as armpits and genitals. Among them, the armpit is the most. The slurry secreted by the apical gland is originally an odorless liquid, but when the slurry is decomposed by the bacteria remaining in the underarm, it becomes a odorous liquid, commonly known as "the body odor." The bacteria in the sweaty patients are easy to breed, and the taste is extremely strong, which causes great trouble in life.

Cause

Cause

The cause of sweating in the armpits:

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 conclusion, 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 symptoms of certain diseases such as hyperthyroidism and diabetes. one. 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

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Examination and diagnosis of axillary sweating:

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

Identification of symptoms that are easily confused with axillary sweat:

1. Slightly sweaty: Slightly sweaty refers to sweat with odor. It is generally believed to be the result of the action of apocrine gland secretions and local bacteria. (1) Clinical manifestations: Swollen sweat can be divided into two types: generalized odor sweat and local odor sweat. Systemic Sweat: It is often a race-related physiological phenomenon. It can also be seen in people with poor health habits. Some foods such as onions, garlic, mustard or certain drugs such as musk can be produced in individuals. Smelly sweat. Localized blisters are mainly caused by underarms, feet, and perineum. They are sweaty and smelly, and they are most common. The smell of smelly sweat is different, mostly related to sweating, and it is aggravated in summer. It has the strongest odor during puberty and decreases with age.

2, hand and foot hyperhidrosis: often limited to palmar, some patients still have excessive sweating, usually in children or adolescence, both men and women can be ill, most last for several years, some patients may naturally reduce after 25 years old . The sweat can continue to drip during the onset of the disease, especially when you are nervous, emotional, terror, anxiety or anger. Sweating can be continuous or intermittent. If it is continuous sweating, the emotional factors are not important. If it is intermittent sweating, it may be caused by anxiety, stress or fear. Most of the hand and foot hyperhidrosis is caused by abnormal sympathetic nerves. The performance is sweating in the hands and feet, the whole hands and feet are wet, although there is no direct impact on health, but it seriously affects learning, socializing, and work. Some cases may have a family history.

3, menopause and sweating: the symptoms of paroxysmal hyperhidrosis in women with menopausal syndrome, brought a lot of troubles to patients, clinical use of prescription walnuts treatment, achieved good results. The method is to use full, non-worm, non-inferior walnut kernel, even two layers of yellow skin, chew 4-5 each morning and evening, usually take 5-7 days to be effective, 15-30 days can be cured .

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: