Hyperhidrosis in Parkinson's disease
Identifieur interne : 002A63 ( Main/Curation ); précédent : 002A62; suivant : 002A64Hyperhidrosis in Parkinson's disease
Auteurs : Pedro Schestatsky [Brésil] ; Josep Valls-Solé ; João Arthur Ehlers [Brésil] ; Carlos R. M. Rieder [Brésil] ; Irênio Gomes [Brésil]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-10.
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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 (χ2 = 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 (χ2 = 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. © 2006 Movement Disorder Society
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DOI: 10.1002/mds.21006
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Josep Valls-Solé<affiliation><mods:affiliation>Unitat d'EMG. Servei de Neurologia, Hospital Clínic, Barcelona, Spain, Facultad de Medicina, IDIBAPS (Institut D'Investigació Biomèdica August Pi i Sunyer)</mods:affiliation><wicri:noCountry code="subField">IDIBAPS (Institut D'Investigació Biomèdica August Pi i Sunyer)</wicri:noCountry></affiliation>Le document en format XML
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Servei de Neurologia, Hospital Clínic, Barcelona, Spain, Facultad de Medicina, IDIBAPS (Institut D'Investigació Biomèdica August Pi i Sunyer)</mods:affiliation><wicri:noCountry code="subField">IDIBAPS (Institut D'Investigació Biomèdica August Pi i Sunyer)</wicri:noCountry></affiliation></author><author><name sortKey="Ehlers, Joao Arthur" sort="Ehlers, Joao Arthur" uniqKey="Ehlers J" first="João Arthur" last="Ehlers">João Arthur Ehlers</name><affiliation wicri:level="3"><mods:affiliation>Unidade de EMG, Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre</mods: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="Rieder, Carlos R M" sort="Rieder, Carlos R M" uniqKey="Rieder C" first="Carlos R. 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Rieder</name><affiliation wicri:level="3"><mods:affiliation>Unidade de EMG, Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre</mods: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="Gomes, Irenio" sort="Gomes, Irenio" uniqKey="Gomes I" first="Irênio" last="Gomes">Irênio Gomes</name><affiliation wicri:level="3"><mods:affiliation>Unidade de EMG, Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre</mods: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></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-10">2006-10</date><biblScope unit="volume">21</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1744">1744</biblScope><biblScope unit="page" to="1748">1748</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">8BAA9EBC804E651F1DA500C236C536A124684D07</idno><idno type="DOI">10.1002/mds.21006</idno><idno type="ArticleID">MDS21006</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>autonomic nervous system</term><term>hyperhidrosis</term><term>sweating</term><term>sympathetic skin response</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></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 (χ2 = 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 (χ2 = 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. © 2006 Movement Disorder Society</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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