[A clinico-physiological analysis of essential hyperhidrosis].
A total of 30 patients with essential hyperhidrosis (EH) and 20 healthy test subjects were examined. Based on the anamnestic and clinical data the patients with EH were distributed into 2 groups: permanent EH and remitting EH (PEH and REH respectively). REH and PEH patients manifested disorders of the suprasegmental part of the autonomic nervous system, which showed up by a rise of the level of reactive and personality anxiety, an increase of the readings of the MIL test scales. PEN patients demonstrated segmental vegetative disorders that manifested by reduced conduction in sweating fibers (a method of evoked cutaneous sympathetic potentials), a lowering of sympathetic effects in the cardiovascular system, a decline of diurnal excretion of catecholamines. The conclusion is made about the presence of 2 forms of EH: permanent EH and remitting EH that differ in the degree of involvement of the suprasegmental and segmental parts of the autonomic nervous system into the pathological process. Based on the reduced conduction in the sympathetic sweating fibers in PEH patients the conclusion is drawn that denervation hypersensitivity to blood catecholamines plays a great role in the pathogenesis of the given pattern of EH.
Oknin
V Iu
VIu
Veĭn
A M
AM
Sadekov
R A
RA
Vnotchenko
S L
SL
D000293:Adolescent; D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D002319:Cardiovascular System / Q000503:physiopathology; D005260:Female; D005712:Galvanic Skin Response / Q000502:physiology; D006801:Humans; D006945:Hyperhidrosis / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D008297:Male; D011930:Reaction Time / Q000502:physiology; D013546:Sweating / Q000502:physiology
Kliniko-fiziologicheskiĭ analiz éssentsial'nogo gipergidroza.