Monkeypox: Revisit of the Old Threat and Emerging Imported Cases

Medical Journal of Dr. D.Y. Patil Vidyapeeth

article

Joob, Beuy¹  Wiwanitkit, Viroj¹ 

[1] Sanitation 1 Medical Academic Center

关键词: Anxiety;    escitalopram;    palmar sweating;    primary hyperhidrosis;   

DOI  :  10.4103/mjdrdypu.mjdrdypu_471_20

学科分类：社会科学、人文和艺术（综合）

来源: Wolters Kluwer Medknow Publications

【 摘 要 】

Hyperhidrosis is excessive, visible sweating without physical activity, which is not associated with physiological homeostatic response to maintain body temperature. The severity can be assessed by the Hyperhidrosis Disease Severity Scale. Hyperhidrosis causes severe psychological impairment, and left untreated may cause cutaneous infections. Topical 20% aluminum chloride is the first-line treatment for all cases of primary, focal hyperhidrosis irrespective of disease severity. Here, we report a case of primary hyperhidrosis with no response to topical aluminum chloride, iontophoresis, and oral anticholinergics who was not interested in invasive treatment modalities. On developing symptoms of anxiety, the patient was subsequently referred to the psychiatry department and successfully treated with clonidine and oral escitalopram. Primary hyperhidrosis did not recur even when clonidine was tapered off, and the patient was maintained on escitalopram. The use of selective serotonin reuptake inhibitors as a long-term maintenance agent for hyperhidrosis requires further study.

【 授权许可】

CC BY-NC-SA