Abstract

VIALAT SOTO, Vivian; VAZQUEZ MERAYO; LEON ALONSO, Dania  and  LOPEZ DIAZ, Vivian de la Caridad. Compensatory sweating, an unwanted effect secondary to the surgical treatment of primary infant hyperhidrosis. Rev Cubana Pediatr [online]. 2014, vol.86, n.2, pp.207-214. ISSN 0034-7531.

Introduction: infantile idiopathic hyperhidrosis is characterized by disproportionate sweating in hands, axillae and feet fundamentally, and brings social problems to those suffering it. Compensatory sweating is unwanted effect that may occur after thoracic surgery. Objective: to evaluate the presence of compensatory sweating in children operated on from idiopathic hyperhidrosis in hands and axillae. Methods: a study of a case series of sixty one 11-18 years-old children operated on from idiopathic hyperhidrosis and subsequently followed-up in university pediatric hospital of Centro Habana from January 2011 to October 2013. The variables were age, sex, location of hyperhidrosis, presence of compensatory sweating and its most common locations as well as its short-and medium-term evolution. Results: forty two girls (68.9 %) and 19 boys (31.1 %) were all operated through synchronic bilateral thoracoscopic sympathicholysis technique using one access port. Seventeen patients (27.9 %) presented with compensatory sweating, 14 in its slight form and 3 in its moderate form. There was no significant difference as to the location of hyperhidrosis and occurrence of compensatory sweating. The most common location was the back in 6 cases (9.8 %). This effect improved as time went by or disappeared in 70.4 % of patients. Conclusions: the patients who had compensatory sweating regarded their present situation as satisfactory because they overcame discomfort in their hands, and they also considered that the surgical treatment was timely.

Keywords : primary hyperhidrosis; compensatory sweating.

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