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Marcelo de Paula Loureiro - Hyperhidrosis: A Complete Guide to Diagnosis and Management

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Marcelo de Paula Loureiro Hyperhidrosis: A Complete Guide to Diagnosis and Management

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Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. Despite prevalence of at least 1% of the global population, Hyperhidrosis is still an unknown entity, for the most part -- an undertreated and even neglected medical condition. Moreover, there are few sources summarizing the knowledge on hyperhidrosis to a wider audience. The purpose of this book is to provide information regarding hyperhidrosis, ranging from basic information on pathophysiology to the most advanced therapeutic alternatives. From a therapeutic perspective, hyperhidrosis requires clinical treatment using topical and subdermal agents as well as surgical approaches. The book will not only cover these topics but will discuss all aspects of care -- from patient selection through post-surgical complications. Special attention will be given to sympathectomies. Medical and paramedical professionals, as well as students and researchers, interested in the topic will find the book comprehensive in scope and targeted in offering practical, clinical guidance. Diagnosis and Treatment of Hyperhidrosis - A Complete Guide counts with the collaboration of most renowned specialists of this field, and is intended as an easy to read and very practical reference book.

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Editors Marcelo de Paula Loureiro Jos Ribas M de Campos Nelson Wolosker - photo 1
Editors
Marcelo de Paula Loureiro , Jos Ribas M. de Campos , Nelson Wolosker and Paulo Kauffman
Hyperhidrosis A Complete Guide to Diagnosis and Management
Editors Marcelo de Paula Loureiro General Surgery and Biotechnology Positivo - photo 2
Editors
Marcelo de Paula Loureiro
General Surgery and Biotechnology, Positivo University and INC Hospital, Curitiba, PR, Brazil
Jos Ribas M. de Campos
Thoracic Surgery Division, Heart Institute, Clinics Hospital, University of So Paulo School of Medicine, So Paulo, SP, Brazil
Nelson Wolosker
Department of Vascular and Endovascular Surgery, Hospital Israelita Albert Einstein, So Paulo, SP, Brazil
Paulo Kauffman
Department of Vascular and Endovascular Surgery, University of So Paulo School of Medicine, So Paulo, SP, Brazil
ISBN 978-3-319-89526-0 e-ISBN 978-3-319-89527-7
https://doi.org/10.1007/978-3-319-89527-7
Library of Congress Control Number: 2018946701
Corrected Publication 2018
Springer International Publishing AG, part of Springer Nature 2018
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

Hyperhidrosis is a disease that does not kill, but that does disrupt the life of the patient. It not only affects the patients quality of life but also has a strong influence on the development of their personality. Other aspects of the disease that are rarely thought about, but that can have a great influence on the patient, are the discomfort of the condition and even the impossibility of carrying out some professional activities. It can be dangerous for patients with serious symptoms to carry out certain activities, and in some cases it can even exclude patients from various occupations, such as being electronic technicians or pharmacists, or being members of the military or police forces with jobs that involve a high level of stress.

Hyperhidrosis is not well known generally, although it is present in at least 1% of the global population, and its prevalence could be as high as 3%. Health professionals also dont know a great deal about the condition. In the era of the amazing availability of informationinformation that can be reliable or falseit is very important to be familiar with the whole picture of this bothersome condition.

To achieve this purpose, Hyperhidrosisa Complete Guide to Diagnosis and Management was conceived as a manual for the thorough understanding of hyperhidrosis. We selected professionals from different fieldspsychologists and psychiatrists, dermatologists, endocrinologists, surgeons, and nutritioniststo write the different chapters.

We have paid special attention to the clinical and surgical treatment of the condition. Although surgery is still the most effective treatment for most indications at all sites of hyperhidrosis presentation, as well as for facial blushing, you can find many alternatives in the book. Side effects of treatments like sympathectomy have resulted in the development of other treatments, which are also described here. The purpose of the book is to share as much experience as possible from some of the best specialists worldwide.

We cannot fail to inform about the side effects and complications that can occur not only with clinical treatment, but also with the surgical procedures that are often necessary for the care of these patients. We have chapters devoted to these side effects and chapters devoted to the prevention and treatment of compensatory hyperhidrosis, one of the most frequent problems that can be caused by surgical treatment. This problem is faced with rigor and all the latest information on the subject is included.

In this book we find, for the first time, a desire not only to provide information about hyperhidrosis, but also information on how to select the best indication for treatment and the best treatment; the final results; and the effectiveness of the treatment, whether it is clinical, psychological, or surgical. Several points are considered important in this book, but we highlight the chapters about patient selection, clinical treatment, surgical treatment, compensatory hyperhidrosis, and dietary changes. There is also a chapter written by a patient who underwent surgery on three occasions and a chapter by a physician with legal training, who writes about the medico-legal implications of treatment. Last but not least are two chapters about sympathectomy for plantar hyperhidrosis, written by the most experienced surgeons in that field.

To conclude, patients and their relatives, physicians, lawyers, surgeons, or indeed anyone who is eager for knowledge about the subject, will find in this book the most up-to-date and reliable information about hyperhidrosis.

Jos Ribas M. de Campos
Marcelo de Paulo Loureiro
Paulo Kauffman
Nelson Wolosker
So Paulo, Brazil Curitiba, Brazil So Paulo, Brazil So Paulo, Brazil

The original version of this book was revised. A correction to this book can be found at

Contents
Part IThe Patient with Hyperhidrosis
Samantha Neves , Dafne Braga Diamante Leiderman and Nelson Wolosker
Marcello D. Bronstein
Ana Maria Pita Lottenberg and Natlia Sanchez Oliveira Jensen
Paulo Kauffman
Sonia Oliveira Lima and Vanessa Rocha de Santana
Samantha Neves , John Robert Pires-Davidson , Dafne Braga Diamante Leiderman and Nelson Wolosker
Ana Rosa Sancovski
Marianna Gonzalez de Oliveira Andrade
Dbora Yumi Ferreira Kamikava
Najla Elias Farage and Milena Barcza Stockler-Pinto
Regina Lunkes Diehl
Part IIGeneral Treatment of Hyperhidrosis
Dafne Braga Diamante Leiderman , Samantha Neves and Nelson Wolosker
Marcia Purcelli
Roberta Vasconcelos and Jos Antonio Sanches Jr.
Mnica Aribi , Gabriel Aribi and Thalita Domingues Mendes
Ronaldo Golcman , Murillo Francisco Pires Fraga and Benjamin Golcman
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