Blair Dwight I, Sagel Julius, Taylor Ian
Department of Internal Medicine, Medical University of South Carolina, Charleston 29425, USA.
South Med J. 2002 Mar;95(3):360-2.
Gustatory sweating is a potential manifestation of autonomic dysfunction in diabetes. This syndrome is seen in long-standing diabetes and is associated with nephropathy, peripheral neuropathy, and other signs of dysautonomia. Symptoms of profuse head and neck diaphoresis with eating may suggest this clinical diagnosis. We present a patient who had complicated diabetes with symptoms of gustatory sweating and other evidence of dysautonomia. Diagnosis and treatment possibilities are discussed, with a review of the literature and an emphasis on bedside testing.
味觉性出汗是糖尿病自主神经功能障碍的一种潜在表现。这种综合征见于长期糖尿病患者，与肾病、周围神经病变及其他自主神经功能障碍的体征相关。进食时头部和颈部大量出汗的症状可能提示这一临床诊断。我们报告一名患有复杂糖尿病且有味觉性出汗症状及其他自主神经功能障碍证据的患者。本文讨论了诊断和治疗的可能性，并对文献进行了综述，重点强调了床旁检查。
