KMID : 0363120090220030253
|
|
Korean Journal of Pain 2009 Volume.22 No. 3 p.253 ~ p.256
|
|
Treatment of Compensatory Hyperhidrosis with Botulinum Toxin A -A case report-
|
|
Shin Sang-Ho
Shin Eun-Young Kim Doo-Hwan Suh Jeong-Hun Leem Jeong-Gill Shin Jin-Woo
|
|
Abstract
|
|
|
Conventional thoracoscopic sympathectomy is an effective method in treating palmar-axillary hyperhidrosis. However, this may result in a postoperatively compensatory hyperhidrosis. Conservative treatments of compensatory hyperhidrosis consist of aluminum chloride, anticholinergics, iontrophoresis, and botulinum toxin A injections. Surgical treatments in compensatory hyperhidrosis include excision of axillary tissue, liposuction, and thoracoscopic sympathectomy. Intradermal injection of botulinum toxin A has used to treat focal axillary or palmar hyperhidrosis. Botulinum toxin A bestows significant benefits with few side-effects and is well-tolerated, with beneficial results lasting from 4-16 months. We report a case illustrating the beneficial use of botulinum toxin A in a 25-year-old healthy male patient with compensatory sweating of the flank after thoracoscopic sympathectomy. Modified Minor¡¯s starch iodine test was used to allow accurate assess the impact of hyperhidrosis on the patient. In conclusion, Botulinum toxin type A is a valuable therapy for compensatory sweating after endoscopic thoracic sympathectomy.
|
|
KEYWORD
|
|
botulinum toxin A, compensatory hyperhidrosis, Minor¡¯s starch iodine test, thoracoscopic sympathectomy
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|