Compensatory hyperhidrosis: Difference between revisions
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{{Infobox medical condition | |||
| name = Compensatory hyperhidrosis | |||
| image = [[File:Gray530.png|left|thumb|Illustration of the sympathetic nervous system]] | |||
| caption = The sympathetic nervous system, which is involved in the regulation of sweating. | |||
| synonyms = | |||
| pronounce = | |||
| specialty = [[Dermatology]], [[Neurology]] | |||
| symptoms = Excessive sweating in areas not previously affected | |||
| complications = [[Skin infections]], [[Social anxiety disorder]] | |||
| onset = After [[surgical sympathectomy]] | |||
| duration = Long-term | |||
| causes = Compensatory mechanism after [[sympathectomy]] | |||
| risks = | |||
| diagnosis = Clinical evaluation | |||
| differential = [[Primary hyperhidrosis]], [[Hyperthyroidism]] | |||
| prevention = | |||
| treatment = [[Antiperspirants]], [[Botulinum toxin]] injections, [[Medications]] | |||
| medication = [[Anticholinergics]] | |||
| prognosis = Variable | |||
| frequency = Common after sympathectomy | |||
}} | |||
{{Short description|A condition characterized by excessive sweating in areas not previously affected, often as a result of surgical intervention.}} | {{Short description|A condition characterized by excessive sweating in areas not previously affected, often as a result of surgical intervention.}} | ||
== Introduction == | |||
== | [[File:Gray530.png|left|thumb|Diagram of the sympathetic nervous system, which is involved in the regulation of sweating.]] | ||
[[File:Gray530.png|thumb | |||
'''Compensatory hyperhidrosis''' is a condition where excessive sweating occurs in areas of the body that were not previously affected. This condition often arises as a side effect of surgical procedures aimed at treating primary [[hyperhidrosis]], such as [[endoscopic thoracic sympathectomy]] (ETS). | '''Compensatory hyperhidrosis''' is a condition where excessive sweating occurs in areas of the body that were not previously affected. This condition often arises as a side effect of surgical procedures aimed at treating primary [[hyperhidrosis]], such as [[endoscopic thoracic sympathectomy]] (ETS). | ||
== Pathophysiology == | == Pathophysiology == | ||
Compensatory hyperhidrosis is believed to occur due to the disruption of the [[sympathetic nervous system]]. When the sympathetic nerves responsible for sweating in one area are cut or destroyed, the body may compensate by increasing sweat production in other areas. This is thought to be a result of the body's attempt to maintain [[homeostasis]] in its thermoregulatory processes. | Compensatory hyperhidrosis is believed to occur due to the disruption of the [[sympathetic nervous system]]. When the sympathetic nerves responsible for sweating in one area are cut or destroyed, the body may compensate by increasing sweat production in other areas. This is thought to be a result of the body's attempt to maintain [[homeostasis]] in its thermoregulatory processes. | ||
== Clinical Presentation == | == Clinical Presentation == | ||
Patients with compensatory hyperhidrosis typically report excessive sweating in areas such as the back, abdomen, thighs, or legs. This sweating can be more severe than the original hyperhidrosis and can significantly impact the patient's quality of life. | Patients with compensatory hyperhidrosis typically report excessive sweating in areas such as the back, abdomen, thighs, or legs. This sweating can be more severe than the original hyperhidrosis and can significantly impact the patient's quality of life. | ||
== Management == | == Management == | ||
Management of compensatory hyperhidrosis can be challenging. Treatment options include: | Management of compensatory hyperhidrosis can be challenging. Treatment options include: | ||
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* [[Botulinum toxin]] injections, which can temporarily block the nerves responsible for sweating. | * [[Botulinum toxin]] injections, which can temporarily block the nerves responsible for sweating. | ||
* Lifestyle modifications, including wearing breathable clothing and using absorbent pads. | * Lifestyle modifications, including wearing breathable clothing and using absorbent pads. | ||
== Surgical Considerations == | == Surgical Considerations == | ||
Patients considering surgical treatment for primary hyperhidrosis should be informed about the risk of developing compensatory hyperhidrosis. The decision to undergo surgery should weigh the potential benefits against the risk of this side effect. | Patients considering surgical treatment for primary hyperhidrosis should be informed about the risk of developing compensatory hyperhidrosis. The decision to undergo surgery should weigh the potential benefits against the risk of this side effect. | ||
== See also == | |||
== | |||
* [[Hyperhidrosis]] | * [[Hyperhidrosis]] | ||
* [[Endoscopic thoracic sympathectomy]] | * [[Endoscopic thoracic sympathectomy]] | ||
* [[Sympathetic nervous system]] | * [[Sympathetic nervous system]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
Latest revision as of 02:30, 5 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Compensatory hyperhidrosis | |
|---|---|
 | |
| Synonyms | |
| Pronounce | |
| Specialty | Dermatology, Neurology |
| Symptoms | Excessive sweating in areas not previously affected |
| Complications | Skin infections, Social anxiety disorder |
| Onset | After surgical sympathectomy |
| Duration | Long-term |
| Types | N/A |
| Causes | Compensatory mechanism after sympathectomy |
| Risks | |
| Diagnosis | Clinical evaluation |
| Differential diagnosis | Primary hyperhidrosis, Hyperthyroidism |
| Prevention | |
| Treatment | Antiperspirants, Botulinum toxin injections, Medications |
| Medication | Anticholinergics |
| Prognosis | Variable |
| Frequency | Common after sympathectomy |
| Deaths | N/A |
A condition characterized by excessive sweating in areas not previously affected, often as a result of surgical intervention.
Introduction[edit]
Compensatory hyperhidrosis is a condition where excessive sweating occurs in areas of the body that were not previously affected. This condition often arises as a side effect of surgical procedures aimed at treating primary hyperhidrosis, such as endoscopic thoracic sympathectomy (ETS).
Pathophysiology[edit]
Compensatory hyperhidrosis is believed to occur due to the disruption of the sympathetic nervous system. When the sympathetic nerves responsible for sweating in one area are cut or destroyed, the body may compensate by increasing sweat production in other areas. This is thought to be a result of the body's attempt to maintain homeostasis in its thermoregulatory processes.
Clinical Presentation[edit]
Patients with compensatory hyperhidrosis typically report excessive sweating in areas such as the back, abdomen, thighs, or legs. This sweating can be more severe than the original hyperhidrosis and can significantly impact the patient's quality of life.
Management[edit]
Management of compensatory hyperhidrosis can be challenging. Treatment options include:
- Topical agents such as aluminum chloride antiperspirants.
- Systemic medications like anticholinergics that reduce sweating.
- Botulinum toxin injections, which can temporarily block the nerves responsible for sweating.
- Lifestyle modifications, including wearing breathable clothing and using absorbent pads.
Surgical Considerations[edit]
Patients considering surgical treatment for primary hyperhidrosis should be informed about the risk of developing compensatory hyperhidrosis. The decision to undergo surgery should weigh the potential benefits against the risk of this side effect.
