Clinical inquiries. What's the best diagnostic evaluation of night sweats?

نویسندگان

Cindy W Su

Sean Gaskie

Kristin Hitchcock

Lisa Johnson

چکیده

There is no single best evidence-based approach to the diagnostic evaluation of night sweats, given the limited number of studies on the subject. A detailed history, however, does appear to be the most important initial diagnostic tool (strength of recommendation [sor]: C, based on usual practice and clinical opinion). No clinical trials have directly studied symptomatic relief of night sweats alone. Among menopausal women with hot flashes associated with night sweats, oral hormone therapy is highly effective in reducing their frequency (sor: A, based on a Cochrane review with a clear recommendation). Antireflux therapy may also be effective (sor: B, based on a cohort study). Therapy aimed at decreasing perspiration has also been suggested (sor: C, based on clinical opinion.)

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