Excessive Sweating: Hyperdrosis Kinds
Axillary hyperdrosis
The basic complaint at axillary hyperdrosis is the raised sweating in axillary area and as consequence an unpleasant smell and damage of clothes by moisture. Such symptoms can lead to the expressed psychoemotional problems. Axillary hyperdrosis very seldom happens isolated, it is often combined with palmar and also can become complicated an erythrasma – the superficial pseudo-mycosis which originator is Corynebacterium minutissimum.
It amazes the top part of a cornual layer of a false skin. The contributing factor is the raised sweating. It is usually observed at adults, more often at men. Primary localization is large cords, especially inguinofemoral. The clinical picture is characterized by occurrence of large brick-red maculae roundish form, more rare with edges which are sharply delimited from a surrounding skin, with a smooth surface. Subjective sensations are absent.
Plantar hyperdrosis:
As well as all kinds of idiopathic hyperdrosis plantar one is a consequence of hyperactivity of nervous system and it is often combined with palmar hyperdrosis. Such patients complain of an unpleasant smell. However before to diagnose the plantar hyperdrosis it is necessary to exclude other possible reasons of a sweating of feet: wearing of synthetic socks, poor-quality footwear, stay in conditions of the raised temperature and humidity.
Secondary local hyperdrosis:
Before to make the conclusions that the person suffers with idiopathic local hyperdrosis, it is necessary to exclude secondary hyperdrosis:
• Hyperdrosis bound to food intake, arises after reception of hot liquid and more often of spicy food, it is localized in the field of a forehead and an upper lip, the pathogenesis is unknown;
• Lucy Frey’s syndrome is a combination of an erubescence and the strengthened diaphoresis. Can arise after the transferred parotitis, surgical operation on a sialaden or its damages;
• a syndrome of a drum-type cord – intensifying of a diaphoresis in the field of a chin in reply to a gustatory boring – arises after a trauma;
• neurologic disturbances:
• neuro syphilis is a damage of nervous fibers of back roots of a spinal cord;
• the stroke when the hyperdrosis is bound to disturbance of the center of a thermoregulation;
• the hereditary reasons:
• a syndrome of Jadestone – hyperkeratosis of palms and feet with their expressed hyperdrosis;
• the Beech syndrome is the hereditary and is autosomal-dominant disease;
• the chronic dermatitis characterized by a sweating of a nose and near by areas of the person with an erubescence and presence of fine pink papules;
• erytromelalgia characterized by paroxysmal expansion of arterioles, thermalgias, hyperalgesia;
• a syndrome of Cassirer – the acrotrophoneurosis of an unknown etiology shown as cyanosis of a skin of extremities, a hypesthesia of fingers in a cold season, more often it affects young women;
• a dark blue spongiform nevus is a hemangioma version for which are characteristic local hyperdrosis and night pains.
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