title: Botulinum toxin treatment for a compensatory hyperhidrosis subsequent to an upper thoracic sympathectomy.
abstract: BACKGROUND
  Compensatory hyperhidrosis is the commonest complication of sympathectomy, but there's no known effective treatment.
  
  
  METHODS
  Botulinum toxin type A (a total dose of 300 MU, 1.0 MU/cm(2)) was used successfully to treat a 68-year-old male with a 5-year history of compensatory hyperhidrosis of the anterior chest following thoracic sympathectomy for palmar hyperhidrosis.
  
  
  RESULTS
  The hyperhidrosis resolved for 8 months without systemic side effects.
  
  
  CONCLUSIONS
  Intracutaneous injection of botulinum toxin is a fast, safe, effective and well-accepted approach for treatment of compensatory hyperhidrosis.
authors.affiliation: Department of Dermatology, Seoul National University College of Medicine, Chongno-gu, Seoul, Korea.
authors.forename: C H
authors.initials: CH
authors.lastname: Huh
authors.forename: K H
authors.initials: KH
authors.lastname: Han
authors.forename: K I
authors.initials: KI
authors.lastname: Seo
authors.forename: H C
authors.initials: HC
authors.lastname: Eun
mesh_terms: D000109:Acetylcholine / Q000037:antagonists & inhibitors; D000368:Aged; D001905:Botulinum Toxins / Q000627:therapeutic use*; D002799:Cholinergic Fibers / Q000187:drug effects / Q000378:metabolism; D006801:Humans; D006945:Hyperhidrosis / Q000188:drug therapy* / Q000601:surgery; D008297:Male; D013545:Sweat Glands / Q000294:innervation; D013562:Sympathectomy; D013909:Thorax / Q000294:innervation
chemical_list: D001905:Botulinum Toxins; D000109:Acetylcholine