A Treatment Experience of Focal Hyperhidrosis in Sacrococcygeal Region -A report of two cases-

천미골 국소 다한증 환자의 치료 경험 -증례 보고-

  • Yoon, Kyung Bong (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Kim, Won Oak (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Yoon, Duck Mi (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Lee, Yoon Chang (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Park, Joon Hee (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine) ;
  • Hong, Nam Geun (Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine)
  • 윤경봉 (연세대학교 의과대학 마취통증의학교실) ;
  • 김원옥 (연세대학교 의과대학 마취통증의학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취통증의학교실) ;
  • 이윤창 (연세대학교 의과대학 마취통증의학교실) ;
  • 박준희 (연세대학교 의과대학 마취통증의학교실) ;
  • 홍남근 (연세대학교 의과대학 마취통증의학교실)
  • Received : 2005.03.25
  • Accepted : 2005.06.09
  • Published : 2005.06.30

Abstract

Essential hyperhidrosis is a socially disabling and emotionally embarrassing condition. Localized excessive sweating in the sacrococcygeal region is a rare form of focal hyperhidrosis. Although numerous treatment options exist, including botulinum toxin and sympathetic neurolysis, there has been no generally accepted form of treatment. The following cases describe the successful reduction of excessive sweating in the sacrococcygeal region, without side effects, after local applications of topical glycopyrrolate and the use of fast drying clothes.

Keywords

References

  1. Strutton DR, Kowalski JW, Glaser DA, Stang PF: US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: Results from a national survey. J Am Acad Dermatol 2004; 51: 241-8
  2. Nyamekye IK: Current therapeutic options for treating primary hyperhidrosis. Eur J Vasc Endovasc Surg 2004; 27: 571-6
  3. John H, Kevin G, Markus N, Dee AG, Nicholas JL, Hans N, et al: Recognition, diagnosis, and treatment of primary focal hyperhidrosis. J Am Acad Dermatol 2004; 51: 274-86
  4. Antranik B, Alain D, Chantal B, Ernest B: Localized hyperhidrosis treated with aluminum chloride in a salicylic acid gel base. Int J Derrnarol 1998; 37: 701-3
  5. Eckardt A, Kuettner C: Treatment of gustatory sweating (Frey's syndrome) with botulinum toxin A. Head Neck 2003; 25: 624-8
  6. Wollina U, Karamfilow T, Konard H: High-dose botulinum toxin type A therapy for axillary hyperhidrosis markedly prolongs the relapse-free interval. J Am Acad Derrnarol 2002; 46: 536-40
  7. Lee HK, Yang SK, Lee HJ, Lee SY, Kim SM, Kim BS, et al: The effect of ganglion impar block for excessive perianal sweating. J Korean Pain Soc 1995; 8: 363-6
  8. Hays LL: The Frey syndrome: a review and double blind evaluation of the topical use of a new anticholinergic agent. Laryngoscope 1978: 88: 1796-824
  9. Seukeran DC, Highst AS: The use of topical glycopyrrolate in the treatment of hyperhidrosis, Clin Exp Dermatol 1998; 23: 204-5
  10. Shwa JE, Abbott CA, Tindle K, Hollis S, Boulton AJM: A randomized controlled trial of topical glycopyrrolate, the first specific treatment for diabetic gustatory sweating. Diabetilogia 1997; 40: 299-301
  11. Kim WO, Kil HK, Yoon DM, Cho MJ: Treatment of compensatory gustatory hyperhidrosis with topical glycopyrrolate. Yonsei Med J 2003; 44: 579-82