Emotional hyperhidrosis
Introduction
Introduction Emotional hyperhidrosis is caused by emotional stimuli, increased sweating due to increased acetylcholine secretion, and cortical or emotional sweating after sexual stimulation is a special type. Hyperhidrosis is mainly caused by psychoactive factors such as emotional factors, hemiplegia or concussion, such as autonomic nerve damage or dysfunction and endocrine dysfunction (such as hyperthyroidism, diabetes), and sometimes a symptom of certain diseases. . It is believed that the occurrence of this disease and various factors lead to increased sympathetic impulses or increased secretion of acetylcholine, which enhances the excitability of the small sweat glands and produces hyperhidrosis; some patients may have increased nervous tone due to small sweat glands, resulting in The sweating response from normal intensity stimulation is enhanced.
Cause
Cause
Hyperhidrosis is mainly caused by psychoactive factors such as emotional factors, hemiplegia or concussion, such as autonomic nerve damage or dysfunction and endocrine dysfunction (such as hyperthyroidism, diabetes), and sometimes a symptom of certain diseases. . It is believed that the occurrence of this disease and various factors lead to increased sympathetic impulses or increased secretion of acetylcholine, which enhances the excitability of the small sweat glands and produces hyperhidrosis; some patients may have increased nervous tone due to small sweat glands, resulting in The sweating response from normal intensity stimulation is enhanced.
Examine
an examination
Related inspection
Thyroxine-binding globulin thyroid iodine test thyroxine (T4) cerebrospinal fluid endothelin thyroid imaging
1. Emotional hyperhidrosis: Due to emotional stimulation, excessive secretion of acetylcholine produces hyperhidrosis, and cortical or emotional sweating after sexual stimulation is a special type.
2. Palmar hyperhidrosis: can be seen in a variety of ethnic groups, no significant gender differences, most patients have a positive family history, often infancy or childhood begins to occur, palmar sweating does not occur in sleep and quiet, Irritated by heat, patients with excessive sweating may have abnormal ECG, may have tachycardia or sharp waves, which may be related to unstable vasomotor. Generally no limitation or systemic associated disease.
3. Axillary hyperhidrosis: Axillary hyperhidrosis: In addition to heat stimulation, there is emotional stimulation and hyperhidrosis, and more sweating with palmar, but the sweat is odorless, males are more female than females. The amount of sweat is large.
4. Other diseases with cortical hyperhidrosis, palmoplantar keratosis, congenital thick nail disease, recessive hereditary bullous epidermolysis, congenital ichthyosis-like erythroderma and Hyperthyroidism can occur in patients with hyperthyroidism. Often appear after excitement or eating, but sometimes heat source stimulation can occur, indicating that the subcortical center is particularly hot (the hypothalamus also plays a role).
According to the clinical manifestations, the characteristics of the lesions can be diagnosed.
TCM pathogenesis and syndrome differentiation: Chinese medicine believes that the congenital endowment is insufficient, the yang is weak, the phlegm is not solid, the dampness is congested, the spleen loses health, and the water is not wet.
Diagnosis
Differential diagnosis
Differential diagnosis of emotional hyperhidrosis:
1, the upper body compensatory hyperhidrosis: upper body compensatory hyperhidrosis (compensatory hyperhidrosis) is due to a certain part of the sweat gland after a certain factor of treatment, the other part of the sweat gland is compensated to maintain body temperature.
2, sympathetic nerve tension: Hyperhidrosis is a disease caused by excessive sympathetic nerve hyperactivity or high tension caused by excessive secretion of sweat glands. Sympathetic innervation dominates the body's sweating. Under normal circumstances, the sympathetic nerve regulates the body's body temperature by controlling sweating, but the patient's sweating and facial flushing completely lose normal control. Hyperhidrosis and facial flushing make the patient daily. In helplessness, anxiety or panic.
3, hyperhidrosis: hyperhidrosis (hyperhidrosis) systemic or local skin sweating too much. The causes of hyperhidrosis can be generally divided into organic diseases and functional disorders. According to the cause of excessive sweat production, it can be divided into neurological hyperhidrosis and non-neurological hyperhidrosis. Neurological hyperhidrosis includes cortex. Hyperhidrosis, hypothalamic hyperhidrosis hypothalamic hyperhidrosis myeloid hyperhidrosis medullary hyperhidrosis non-neurological hyperhidrosis mainly compensated hyperhidrosis compensatory hyperhidrosis.
4, localized hyperhidrosis: often begins in children or adolescence, both men and women can have a family history, can last for several years, after 25 years of age there is a natural relief tendency to the most common part of localized hyperhidrosis It is the palmar and rubbing surfaces such as the underarm, the groin, the perineum and the forehead nose and chest. The sweating of the palmar sputum can be sustained or transient, caused by mood fluctuations. There is no seasonal difference. The coldness of the hands and feet or even the convulsions often occur. The long-term can be accompanied by keratosis of the hands and feet. The sweating of the ankles can be induced by heat or mental activity. The excessive sweating of the underarm is caused by the excessive activity of the small sweat glands, which is not caused by the axillary odor.
5, generalized hyperhidrosis: mainly due to other diseases caused by widespread sweating, like infectious high fever, due to the regulation of the nervous system or oral antipyretic to sweat to dissipate heat. Other damages such as the central nervous system including the cortex and basal ganglia, spinal cord or peripheral nerves can cause excessive sweating throughout the body.
