The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Treatment of Compensatory Hyperhidrosis with Botulinum Toxin A -A case report-

보튤리늄 독소를 이용한 보상성 다한증의 치료경험 -증례보고-

  • Shin, Sang Ho (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Eun Young (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Du Hwan (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Suh, Jeong Hun (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Leem, Jung Gil (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Jin Woo (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 신상호 (울산대학교 의과대학 서울아산병원 마취통증의학교실) ;
  • 신은영 (울산대학교 의과대학 서울아산병원 마취통증의학교실) ;
  • 김두환 (울산대학교 의과대학 서울아산병원 마취통증의학교실) ;
  • 서정훈 (울산대학교 의과대학 서울아산병원 마취통증의학교실) ;
  • 임정길 (울산대학교 의과대학 서울아산병원 마취통증의학교실) ;
  • 신진우 (울산대학교 의과대학 서울아산병원 마취통증의학교실)
  • Received : 2009.07.16
  • Accepted : 2009.09.14
  • Published : 2009.12.01
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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.

Keywords

References

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