ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Sweating , Sweating/physiology , Sweating Sickness/diagnosis , Sweating Sickness/drug therapy , Prostaglandin Antagonists/therapeutic use , Sweating Sickness/physiopathology , Prostaglandins/therapeutic useSubject(s)
Anorexia/etiology , Deglutition Disorders/etiology , Sweating Sickness/etiology , Tracheoesophageal Fistula/complications , Tuberculosis, Lymph Node/complications , Tuberculosis, Pulmonary/complications , Anorexia/diagnosis , Deglutition Disorders/diagnosis , Diagnosis, Differential , Endoscopy, Gastrointestinal , Humans , Male , Mediastinum , Middle Aged , Radiography, Thoracic , Sweating Sickness/diagnosis , Tomography, X-Ray Computed , Tracheoesophageal Fistula/diagnosis , Tuberculosis, Lymph Node/diagnosis , Tuberculosis, Pulmonary/diagnosisABSTRACT
No disponible
Subject(s)
Male , Female , Adult , Humans , Hyperhidrosis/complications , Hyperhidrosis/therapy , Body Temperature Regulation/physiology , Sweat , Surveys and Questionnaires , Quality of Life , Signs and Symptoms , Sweating Sickness/complications , Sweating Sickness/diagnosis , Sweating Sickness/rehabilitation , Sweating Sickness/therapyABSTRACT
Objetivo. Valorar los resultados y complicaciones de la simpaticotomía torácica videotoracoscópica (VATS) en el tratamiento de los pacientes diagnosticados de rubor facial incontrolable y/o hiperhidrosis facial. Pacientes y método. Entre mayo de 2000 y agosto de 2006, llevamos a cabo 82 simpaticotomías torácicas por VATS en 41 pacientes diagnosticados de rubor facial incontrolable y/o hiperhidrosis facial. Dos de ellos habían sido intervenidos anteriormente sin resultados satisfactorios. La técnica empleada fue la simpaticotomía bilateral, variando los niveles en fun- ción de la presencia de hiperhidrosis palmar y/o axilar asociada y de las limitaciones anatómicas. Los resultados fueron evaluados a la semana y a los 3-6 meses en los 41 pacientes y al año de la intervención en 34 pacientes. Resultados. Había 22 varones y 19 mujeres, con una media de edad de 33,7 (intervalo, 18-56) años. En 17 (41,5%) pacientes el síntoma principal era la hiperhidrosis facial y en 24 (58,5%), el rubor facial incontrolable. Todos los pacientes fueron dados de alta antes de las 24 h de la intervención, 14 de ellos en un programa de cirugía sin ingreso. Se obtuvo mejoría de la hiperhidrosis facial en todos los casos 17/17 (100%). En el grupo de rubor la técnica fue eficaz en 20/24 (83,3%) casos. Se obtuvo resultados satisfactorios con la segunda intervención. Se constató sudoración compensadora en 16/41 (39%) pacientes, que fue grave en 6 (14.6%). Conclusiones. La simpaticotomía torácica por VATS es un procedimiento seguro y efectivo para el manejo de la hiperhidrosis facial y el rubor incontrolable. La sudoración compensadora permanece como el principal efecto secundario (AU)
Objective. To evaluate the results and complications of thoracic sympathectomy in the treatment of patients with uncontrollable blushing and facial hyperhidrosis. Patients and method. Between May 2000 and August 2006 we performed 82 VATS sympathectomies on 41 patients with the diagnosis of uncontrollable blushing and/or facial hyperhidrosis. Two of them had been previously operated on without good results. The technique employed was bilateral VATS sympathectomy varying the levels depending on the presence of palmar and/or axillary hyperhidrosis and the anatomical limitations. The results were evaluated one week after the procedure and 3-6 months later in 41 patients; and also one year later in 34 patients. Results. Twenty-two men and 19 women, with mean age of 33.7 years (range, 18-56). In 17 patients (41.5%) main symptom was facial hyperhidrosis and in 24 (58.5%) uncontrollable blushing. All the patients were discharged before 24 hours after surgery, 14 of them in an ambulatory surgery program. There was improvement of the symptoms in all the cases of facial hyperhidrosis 17/17 (100%). In the blushing group the procedure was effective in 20/24 cases (83.3%). Results were good with the second surgery. Compensatory sweating was observed in 16/41 patients (39%), and was severe in 6 (14.6%). Conclusions. Sympathectomy is a safe and effective procedure in the management of facial hyperhidrosis and uncontrollable blushing. Compensatory sweating remains as the main secondary effect (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Thoracoscopy/methods , Hyperhidrosis/diagnosis , Hyperhidrosis/therapy , Thoracic Surgery, Video-Assisted/methods , Flushing/diagnosis , Flushing/therapy , Blepharoptosis/complications , Blepharoptosis/diagnosis , Body Temperature Regulation/physiology , Sweating/physiology , Sweating Sickness/diagnosis , Sweating Sickness/surgery , Phobic Disorders/etiology , Hemothorax/complications , Hemothorax/diagnosisABSTRACT
No disponible
Subject(s)
Male , Adult , Humans , Hypohidrosis/diagnosis , Hypohidrosis/therapy , Sweating Sickness/diagnosis , Sweating Sickness/therapy , Ectodermal Dysplasia/diagnosis , Nervous System/pathology , Glycoproteins/analysisABSTRACT
In 2001, spores of Bacillus anthracis were deliberately sent through the United States postal system, resulting in five deaths from inhalational anthrax. Rarely observed clinical symptoms associated with these cases led to a hypothesis about the etiology of the English Sweating Sickness. The disease appeared sporadically in England between 1485 and 1551. Numerous viruses have been proposed as possible causes of the "English Sweat". Anthrax has not previously been considered because, documented cases of inhalational anthrax have been rare and pronounced sweating was not a noted symptom of the more common cutaneous and gastrointestinal forms of anthrax. Victims of the English Sweating Sickness have recently been identified in undisturbed tombs. It may be possible to examine those bodies and coffins for the presence of resilient anthrax spores and DNA using modern genomic tools.
