Hyperhidrosis in Parkinson's disease.
Identifieur interne : 002C89 ( PubMed/Checkpoint ); précédent : 002C88; suivant : 002C90Hyperhidrosis in Parkinson's disease.
Auteurs : Pedro Schestatsky [Brésil] ; Josep Valls-Solé ; João Arthur Ehlers ; Carlos R M. Rieder ; Irênio GomesSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- Aged, Autonomic Nervous System Diseases (diagnosis), Autonomic Nervous System Diseases (physiopathology), Electric Stimulation, Female, Galvanic Skin Response (physiology), Humans, Hyperhidrosis (diagnosis), Hyperhidrosis (physiopathology), Male, Middle Aged, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Peripheral Nerves (physiopathology), Reaction Time (physiology), Sweating (physiology), Sympathetic Nervous System (physiopathology).
- MESH :
- diagnosis : Autonomic Nervous System Diseases, Hyperhidrosis, Parkinson Disease.
- physiology : Galvanic Skin Response, Reaction Time, Sweating.
- physiopathology : Autonomic Nervous System Diseases, Hyperhidrosis, Parkinson Disease, Peripheral Nerves, Sympathetic Nervous System.
- Aged, Electric Stimulation, Female, Humans, Male, Middle Aged.
Abstract
We studied the sudomotor skin response (SSR) in patients with Parkinson's disease with and without symptomatic hyperhidrosis. The study was carried out in 13 patients who complained of excessive sweating and in 37 patients who did not have excessive sweating. Patients were matched for age, sex, degree of impairment, duration of the disease, and number and severity of autonomic disturbances. Excessive sweating involved mainly the face, head, and trunk. The SSR was recorded from the palm of the hands to electrical stimulation of the median nerve at the wrist. We analyzed onset latency, peak to peak amplitude, and waveform. Patients with hyperhidrosis had more often absent responses (chi(2) = 5.292; P = 0.021), their responses were of lower mean amplitude (analysis of variance [ANOVA]; F[2,101] = 11.678; P < 0.001), and they had a reduced number of responses with a predominantly negative component (chi(2) = 8.493; P = 0.004) than patients who did not complain of sweating disturbances. Our results indicate that excessive sweating in Parkinson's disease concurs with decreased activation of sweat glands in the palms of the hands and suggests that axial hyperhidrosis could be a compensatory phenomenon for reduced sympathetic function in the extremities.
DOI: 10.1002/mds.21006
PubMed: 16773622
Affiliations:
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Rieder</name></author><author><name sortKey="Gomes, Irenio" sort="Gomes, Irenio" uniqKey="Gomes I" first="Irênio" last="Gomes">Irênio Gomes</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.21006</idno><idno type="RBID">pubmed:16773622</idno><idno type="pmid">16773622</idno><idno type="wicri:Area/PubMed/Corpus">002B93</idno><idno type="wicri:Area/PubMed/Curation">002B93</idno><idno type="wicri:Area/PubMed/Checkpoint">002C89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Hyperhidrosis in Parkinson's disease.</title><author><name sortKey="Schestatsky, Pedro" sort="Schestatsky, Pedro" uniqKey="Schestatsky P" first="Pedro" last="Schestatsky">Pedro Schestatsky</name><affiliation wicri:level="3"><nlm:affiliation>Unidade de EMG, Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre.</nlm:affiliation><country>Brésil</country><placeName><settlement type="city">Porto Alegre</settlement><region type="state">Rio Grande do Sul</region></placeName><wicri:orgArea>Unidade de EMG, Serviço de Neurologia, Hospital de Clínicas de Porto Alegre</wicri:orgArea></affiliation></author><author><name sortKey="Valls Sole, Josep" sort="Valls Sole, Josep" uniqKey="Valls Sole J" first="Josep" last="Valls-Solé">Josep Valls-Solé</name></author><author><name sortKey="Ehlers, Joao Arthur" sort="Ehlers, Joao Arthur" uniqKey="Ehlers J" first="João Arthur" last="Ehlers">João Arthur Ehlers</name></author><author><name sortKey="Rieder, Carlos R M" sort="Rieder, Carlos R M" uniqKey="Rieder C" first="Carlos R M" last="Rieder">Carlos R M. Rieder</name></author><author><name sortKey="Gomes, Irenio" sort="Gomes, Irenio" uniqKey="Gomes I" first="Irênio" last="Gomes">Irênio Gomes</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Autonomic Nervous System Diseases (diagnosis)</term><term>Autonomic Nervous System Diseases (physiopathology)</term><term>Electric Stimulation</term><term>Female</term><term>Galvanic Skin Response (physiology)</term><term>Humans</term><term>Hyperhidrosis (diagnosis)</term><term>Hyperhidrosis (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Peripheral Nerves (physiopathology)</term><term>Reaction Time (physiology)</term><term>Sweating (physiology)</term><term>Sympathetic Nervous System (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Autonomic Nervous System Diseases</term><term>Hyperhidrosis</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Galvanic Skin Response</term><term>Reaction Time</term><term>Sweating</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Autonomic Nervous System Diseases</term><term>Hyperhidrosis</term><term>Parkinson Disease</term><term>Peripheral Nerves</term><term>Sympathetic Nervous System</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Electric Stimulation</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We studied the sudomotor skin response (SSR) in patients with Parkinson's disease with and without symptomatic hyperhidrosis. The study was carried out in 13 patients who complained of excessive sweating and in 37 patients who did not have excessive sweating. Patients were matched for age, sex, degree of impairment, duration of the disease, and number and severity of autonomic disturbances. Excessive sweating involved mainly the face, head, and trunk. The SSR was recorded from the palm of the hands to electrical stimulation of the median nerve at the wrist. We analyzed onset latency, peak to peak amplitude, and waveform. Patients with hyperhidrosis had more often absent responses (chi(2) = 5.292; P = 0.021), their responses were of lower mean amplitude (analysis of variance [ANOVA]; F[2,101] = 11.678; P < 0.001), and they had a reduced number of responses with a predominantly negative component (chi(2) = 8.493; P = 0.004) than patients who did not complain of sweating disturbances. Our results indicate that excessive sweating in Parkinson's disease concurs with decreased activation of sweat glands in the palms of the hands and suggests that axial hyperhidrosis could be a compensatory phenomenon for reduced sympathetic function in the extremities.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16773622</PMID><DateCreated><Year>2006</Year><Month>10</Month><Day>26</Day></DateCreated><DateCompleted><Year>2007</Year><Month>02</Month><Day>02</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>21</Volume><Issue>10</Issue><PubDate><Year>2006</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Hyperhidrosis in Parkinson's disease.</ArticleTitle><Pagination><MedlinePgn>1744-8</MedlinePgn></Pagination><Abstract><AbstractText>We studied the sudomotor skin response (SSR) in patients with Parkinson's disease with and without symptomatic hyperhidrosis. The study was carried out in 13 patients who complained of excessive sweating and in 37 patients who did not have excessive sweating. Patients were matched for age, sex, degree of impairment, duration of the disease, and number and severity of autonomic disturbances. Excessive sweating involved mainly the face, head, and trunk. The SSR was recorded from the palm of the hands to electrical stimulation of the median nerve at the wrist. We analyzed onset latency, peak to peak amplitude, and waveform. Patients with hyperhidrosis had more often absent responses (chi(2) = 5.292; P = 0.021), their responses were of lower mean amplitude (analysis of variance [ANOVA]; F[2,101] = 11.678; P < 0.001), and they had a reduced number of responses with a predominantly negative component (chi(2) = 8.493; P = 0.004) than patients who did not complain of sweating disturbances. 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Rieder</name><name sortKey="Valls Sole, Josep" sort="Valls Sole, Josep" uniqKey="Valls Sole J" first="Josep" last="Valls-Solé">Josep Valls-Solé</name></noCountry><country name="Brésil"><region name="Rio Grande do Sul"><name sortKey="Schestatsky, Pedro" sort="Schestatsky, Pedro" uniqKey="Schestatsky P" first="Pedro" last="Schestatsky">Pedro Schestatsky</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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