The metacarpus of Indian Blackbuck comprised of two metacarpal bones. The large metacarpal bone consisted of fused III and IV metacarpals. The shaft of the metacarpus presented two surfaces and two borders. The dorsal surface was smooth and semi-cylindrical in outline. The palmar surface was flat in outline and it presented a deep longitudinal groove which possessed similar foramina. These fora...

In an open study regarding focal hyperhidrosis, we injected 45-65 mouse units of botulinum toxin A (Btx-A) per palm and 100 per sole intracutaneously to 28 hands and 6 feet. We observed patients for up to 10 months to evaluate the efficacy and tolerability of Btx-A for palmar and plantar hyperhidrosis. The mean sweat production significantly declined for both palmar and plantar hyperhidrosis qu...

Essential, idiopathic, or primary hyperhidrosis is defined as excessive sweating in certain areas of the body due to factors unrelated to other disease. Clinical presentation can be categorized as palmar, plantar, axillary, or craniofacial. Medical treatment (aluminium salts, iontophoresis, anticholinergic drugs, and alpha2-agonists) is of questionable effectiveness. Intradermal injections of b...

To evaluate the efficacy and safety of tap water iontophoresis in the treatment of severe idiopathic palmar hyperhidrosis, nine Chinese patients with severe palmar hyperhidrosis that had failed to respond to topical aluminium chloride were given 6 weeks' treatment with tap water iontophoresis at the Social Hygiene Service, Department of Health, Hong Kong. The reduction in sweat output was asses...

AIM Hyperhidrosis is defined as excessive sweating beyond the physiologic needs of a person. Palmar hyperhidrosis in the adolescent period may have an impact on school work and may cause psychological problems. In this study we aim to increase awareness of this disregarded problem. MATERIALS AND METHODS We explicated the early outcomes of 7 consecutive adolescents, where single port video-ass...

OBJECTIVE To evaluate the reliability and the validity of the use of simple clinical signs as a method of anemia detection. METHODS The study was carried out in a S o Paulo, Brazil, day-care center, and included 135 children from ages 3 months-6 years. Hemoglobin level results and palmar and conjunctival pallor assessment were used. Children with Hb under 11g/dl were considered as anemic; sub...

BACKGROUND Primary palmar hyperhidrosis is a functionally and socially disabling condition. The choice of treatment is controversial. OBJECTIVE To examine the clinical presentation of primary palmar hyperhidrosis and the results of treatment with thoracoscopic sympathectomy in a local setting. MATERIALS AND METHODS A retrospective study of 7 patients involving 10 sympathectomies between Oct...

Primary palmar hyperhidrosis is a disorder of excessive perspiration. In severe cases it can be socially and professionally debilitating and conservative therapy is usually unsatisfactory. Endoscopic thoracic sympathectomy (ETS) is considered an effective treatment for palmar hyperhidrosis. However, many different procedures have been used: simple resection of the sympathetic ganglion, transect...

INTRODUCTION Local botulinum toxin injections and endoscopic thoracic sympathectomy (ETS) have shown clinical effectiveness for the treatment of palmar hyperhidrosis in several studies. Although both strategies cause considerable costs for health-care systems, at the moment there are no studies examining directly their cost-effectiveness performance. The aim of the study was to assess the incre...

Palmar hyperhidrosis affects up to 3% of the population and inflict significant impact on quality of life. It is characterized by chronic excessive sweating, not related to the necessity of heat loss. It evolves from a localized hyperactivity of the sympathetic autonomic system and can be triggered by stressful events. In this study, the authors discuss clinical findings, pathophysiological, di...