topical solutions containing aluminum chloride are known to be the first line of therapy for hyperhidrosis. palmar hyperhidrosis however, is less responsive to aluminum chloride therapy and successful treatment may require 6-8 h application of high concentrations up to 30% that commonly leads to skin irritation. the purpose of this study is to investigate the effect of 30 min iontophoretic appl...

Objective- To determine if the pain of the third phalanx due to sidebone fracture in horses can be attenuated by analgesia of the distal interphlangeal joint and palmar digital nerve block. Design- Clinical study. Animals- Seven horses with unilateral forelimb lameness associated with hoof pain due to sidebone fracture. Procedures- Seven mix breed show jumping horses were selected from hor...

Palm prints of 55 male and 33 female schizophrenic patients from Assam Medical College, Dibrugarh were examined for a possible association between palmar dermatoglyphic characteristics and the disease. There was a marked difference between patients and normal controls with regard to palmar C line termination, axial triadic, number of ridges at the a-b inter digital area and the frequency of var...

Debate continues about the origin of Dupuytren's disease, which is usually in the palm but is seen elsewhere as ectopic lesions. We describe a young patient with Dupuytren's disease extending proximal to the wrist crease in continuity with the palmar lesion. Our findings support the view that the condition starts within the palmar connective tissue, but there is no palmar aponeurosis in the for...

A complex variation in the pattern of blood supply to the palm of the hand was encountered during a routine dissection of a female adult cadaver. Findings were: (a) there was no communication between the superficial palmar branches of the radial and ulnar arteries (incomplete superficial palmar arch); (b) the superficial palmar branch of the radial artery coursed superficially to the thenar mus...

Introduction Arterial arches of hand are the major blood supply to the structures in the hand. The two arches, superficial and deep palmar arches make an important anastomose between the radial and ulnar arteries. Superficial palmar arch (SPA) is formed by direct continuation of ulnar artery, i.e. superficial palmar branch, completed on lateral side by one of the three branches of radial artery...

OBJECTIVE To compare two surgical techniques (denervation levels) for sympathectomy using video-assisted thoracoscopy to treat palmar hyperhidrosis in the long-term. METHODS From May 2003 to June 2006, 60 patients with palmar hyperhidrosis were prospectively randomized for video-assisted thoracoscopic sympathectomy at the T2 or T3 ganglion level. They were followed for a mean of 20 months and...

DESCRIPTION A 71-year-old right-hand-dominant retired man complains of inability to straighten the thumb, middle finger, and small finger of his left hand. This symptom has been progressively worsening over the past 2 or 3 years. On examination, the 3 affected digits cannot be fully extended, either passively or actively. There is a thick band of fibrous tissue tethering each digit in its contr...

Correspondence A surgical treatment for anxiety-triggered palmar hyperhidrosis is not unlike treating tearfulness in major depression by severing the nerves to the lacrimal glands SIR, The recent study of Krogstad et al. 1 in this Journal, reporting on the daily pattern of sweating and response to stress in patients with palmar hyperhidrosis, is an important contribution to the clinical literat...

Numbness within the thumb involving palmar aspect with three and a half digits as division is common presentation of peripheral nerve injury. However, it rarely observed to be presented numbness at ulnar-palmar side thumb, where longitudinal melanonychia on nail plate acts division. We present case that reveals concurrence suffered from injury during course occupational therapy.