초록
임상에서 흔히 접하는 국소다한증에 비하여 전신다한증은 발생빈도가 상대적으로 낮지만 환자의 일상생활에 미치는 영향은 더 크다. 저자들은 수년간 지속된 전신다한증과 이에 합병된 급성 신부전에 대하여 수액공급과 항콜린성 제제를 통하여 임상적 호전을 보인 사례를 경험하였기에 전신다한증의 원인 및 치료에 대한 문헌고찰과 함께 보고하는 바이다.
Hyperhidrosis is a disorder characterized by perspiration in excess of the physiologic amount necessary to maintain thermal homeostasis. It is categorized as either a primary condition or a condition occurring secondary to a number of diseases and the use of prescribed drugs and is further classified according to anatomical distribution as being focal, regional, or generalized. Severe generalized hyperhidrosis is extremely rare but significantly inhibits social activities in those affected. A 48-year-old female with oliguria was admitted to our hospital. Both a physical examination and a starch-iodine test showed generalized hyperhidrosis, suggesting that excessive loss of body fluid via sweating had led to prerenal acute renal failure (ARF). To our knowledge, severe cases of generalized hyperhidrosis causing ARF have not previously been reported. The present case is reported with a review of the literature on the etiology and management of generalized hyperhidrosis.
