Ibrahim Ibrahim M, Abdel Kareem Ibrahim M, Alghobashy Mohammed A
Department of Dermatology and Venerology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
J Cosmet Dermatol. 2018 Dec;17(6):1084-1089. doi: 10.1111/jocd.12471. Epub 2017 Dec 28.
Palmar hyperhidrosis is of great concern to patients because of its physical, occupational, and psychological impact on quality of life. Topical clove oil has been used in many conditions due to its major component Eugenol that exerts blocking effect on nerve transmission.
To assess the efficacy of topical liposome incorporated clove oil in decreasing the rate of sweating among patients with idiopathic palmar hyperhidrosis.
Forty patients with palmar hyperhidrosis were treated with clove oil 45% in liposome and another twenty patients were treated as a control group with 0.9% saline solution and evaluation was carried out before and after treatment through gravimetry testing and hyperhidrosis disease severity scale (HDSS).
The gravimetry testing among clove oil-treated group showed that the mean sweating rate before treatment was 80.5 ± 41.85 (SD) mg/min which decreased significantly after treatment to 52.98 ± 37.94(SD) mg/min (P value < .001). On the other hand, the placebo-treated group,(control) the mean sweating rate before treatment was 77.40 ± 29.29(SD) which did not show significant improvement after placebo application 77.35 ± 28.29(SD; P value = .957).
The topical application of 45% clove oil in liposome twice daily for 2 weeks showing promising result evidenced by declining in the rate of palmar sweating among patients with idiopathic palmar hyperhidrosis.
掌部多汗症因其对生活质量造成身体、职业及心理影响而备受患者关注。局部使用丁香油在多种病症中均有应用,因其主要成分丁香酚对神经传导具有阻断作用。
评估局部应用脂质体包裹的丁香油对降低特发性掌部多汗症患者出汗率的疗效。
40例掌部多汗症患者接受脂质体包裹的45%丁香油治疗,另外20例患者作为对照组接受0.9%生理盐水治疗,并通过重量测定试验和多汗症疾病严重程度量表(HDSS)在治疗前后进行评估。
丁香油治疗组的重量测定试验显示,治疗前平均出汗率为80.5±41.85(标准差)mg/分钟,治疗后显著降至52.98±37.94(标准差)mg/分钟(P值<0.001)。另一方面,安慰剂治疗组(对照组)治疗前平均出汗率为77.40±29.29(标准差),使用安慰剂后为77.35±28.29(标准差),未显示出显著改善(P值=0.957)。
对于特发性掌部多汗症患者,每天两次局部应用脂质体包裹的45%丁香油,持续2周,掌部出汗率下降,显示出有前景的结果。