Estevan Fernanda Alvarenga, Wolosker Marina Borri, Wolosker Nelson, Puech-Leão Pedro
School of Medicine of the Universidade de São Paulo (FMUSP) - São Paulo (SP), Brazil.
Department of Surgery - Division of Vascular and Endovascular Surgery of the Clinics Hospital of the School of Medicine of the Universidade de São Paulo (HCFMUSP) - São Paulo (SP), Brazil.
An Bras Dermatol. 2017 Sep-Oct;92(5):630-634. doi: 10.1590/abd1806-4841.20175551.
The present paper aims to study the prevalence of the various manifestations of hyperhidrosis in patients who sought treatment in a specialized ambulatory in the state of São Paulo.
Opposite to previous studies, this paper studies the different combinations of sweating sites, not being restricted to the main complaint site of the patients, but taking into consideration secondary complaints patients may present.
This was a retrospective approach of a database containing more than 1200 patients in which were mapped: combination of sweating sites, age of onset, age spectrum, mean age, body mass index and gender of patients. Patients were categorized into four groups based on their main sweating site - palmar, plantar, axillary and facial.
We concluded that hyperhidrosis appears frequently in more than one site, being the main complaint that affects the most patients palmar hyperhidrosis, which appears early in the patients during adolescence. When there are two sites of sweating, the most frequent combination is palmar + plantar, and when there are three sites of sweating the most frequent combinations are palmar + plantar + axillary and axillary + palmar + plantar.
This research has casuistics limited to a single care service for patients with hyperhidrosis.
It is necessary to keep in mind that the disease manifests itself mainly in more than one location, with different intensities in each of the patients, generating a significant impairment of their quality of life.
本文旨在研究在圣保罗州一家专门门诊部寻求治疗的多汗症患者各种表现的患病率。
与以往研究不同,本文研究出汗部位的不同组合,不限于患者的主要诉求部位,而是考虑患者可能出现的次要诉求。
这是一种对包含1200多名患者的数据库的回顾性研究方法,其中记录了:出汗部位组合、发病年龄、年龄范围、平均年龄、体重指数和患者性别。患者根据其主要出汗部位分为四组——手掌、足底、腋窝和面部。
我们得出结论,多汗症经常出现在不止一个部位,影响患者最多的主要诉求是手掌多汗症,其在患者青春期早期出现。当有两个出汗部位时,最常见的组合是手掌 + 足底,当有三个出汗部位时,最常见的组合是手掌 + 足底 + 腋窝和腋窝 + 手掌 + 足底。
本研究的病例仅限于为多汗症患者提供单一护理服务的情况。
有必要记住,该疾病主要在不止一个部位表现出来,在每个患者中强度不同,对他们的生活质量造成重大损害。