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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO determine the location of hyperhidrosis&#44; the accompanying signs and symptoms&#44; and patient anxiety assessed on 2 scales and standardized psychometric instruments&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective study of patients with hyperhidrosis was carried out between September 1&#44; 2001 and June 30&#44; 2003 with a self-administered preoperative questionnaire&#46; The variables studied included the location of hyperhidrosis&#44; the accompanying signs and symptoms&#44; and the self-reported degree of anxiety and perception of its effect on daily life assessed by the State-Trait Anxiety Inventory &#40;STAI&#41; and a questionnaire designed in our department&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Palmar hyperhidrosis was reported by 93&#46;6&#37; of patients&#44; plantar by 70&#46;2&#37;&#44; axillary by 66&#46;4&#37;&#44; facial by 12&#46;1&#37;&#44; groin by 8&#46;2&#37;&#44; chest by 5&#37;&#44; and abdominal by 2&#37;&#46; While more than 50&#37; of the patients reported facial blushing and palpitations as accompanying signs and symptoms&#44; approximately 30&#37; experienced epigastric pain&#44; trembling&#44; and headaches&#46; Over half of the patients reported that their anxiety was incapacitating&#44; and a mere 1&#46;2&#37; experienced none at all&#46; STAI scores were similar to those of the general population whereas scores on our department&#39;s questionnaire reflected those of the self-reported anxiety ratings&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Primary hyperhidrosis is a disorder in which excessive sweating occurs mainly&#44; but not exclusively&#44; on the palms&#46; The condition is accompanied by signs and symptoms typical of autonomic nervous system hyperactivity and by a degree of anxiety that has an incapacitating effect on normal life&#44; although that anxiety is not detected by the STAI questionnaire alone&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar la localizaci&#243;n de la hiperhidrosis&#44; la cl&#237;nica acom pa &#241;ante y la ansiedad que refieren los pacientes tanto subjetivamente como mediante instrumentos psicom&#233;tricos estandarizados&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo realizado en-tre el 1 de septiembre de 2001 y el 30 de junio de 2003 mediante una encuesta autoadministrada preoperatoria a los pacientes con hiperhidrosis&#46; Las variables de estudio fueron&#58; localizaci&#243;n de la hiperhidrosis&#44; cl&#237;nica acompa&#241;ante&#44; ansiedad subjetiva y percepci&#243;n de &#233;sta en la vida diaria mediante el cuestionario Escala de Ansiedad Estado-Rasgo &#40;STAI&#41; y un cuestionario elaborado por nuestro servicio&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La localizaci&#243;n de la hiperhidrosis fue palmar en el 93&#44;6&#37; de los pacientes&#44; plantar en el 70&#44;2&#37;&#44; axilar en el 66&#44;4&#37;&#44; facial en el 12&#44;1&#37;&#44; inguinal en el 8&#44;2&#37;&#44; pectoral en un 5&#37; y abdominal en un 2&#37;&#46; En cuanto a la cl&#237;nica acompa&#241;ante&#44; el enrojecimiento facial y las palpitaciones superaban el 50&#37;&#44; mientras que alrededor de un 30&#37; presentaba epigas-tralgia&#44; temblor y cefalalgia&#46; En cuanto a la ansiedad subjetiva&#44; m&#225;s de la mitad de los pacientes presentaban ansiedad in-capacitante y s&#243;lo el 1&#44;2&#37; no la experimentaban en ning&#252;n grado&#46; Seg&#252;n el STAI&#44; los valores obtenidos reflejaban un pa-ralelismo con la poblaci&#243;n general&#44; mientras que nuestro cuestionario reflej&#243; la ansiedad autorreferida&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La hiperhidrosis primaria es un trastorno que cursa principalmente con hipersudaci&#243;n palmar&#44; aun-que no de forma exclusiva&#46; Se acompa&#241;a de cl&#237;nica t&#237;pica de hiperactividad del sistema vegetativo y un grado de ansiedad que incapacita para Ilevar una vida normal y que&#44; sin embargo&#44; no se detecta mediante el cuestionario STAI&#46;</p>"
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Vol. 41. Issue 2.
Pages 88-92 (February 2005)
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Vol. 41. Issue 2.
Pages 88-92 (February 2005)
Original Articles
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Primary Hyperhidrosis and Anxiety: a Prospective Preoperative Survey of 158 Patients
Visits
4669
R. Ramosa,b,
Corresponding author
ricardramos@ub.edu

Correspondence: Dr. R. Ramos. Servicio de Cirugía Torácica. Hospital Universitari de Bellvitge. Feixa Llarga, s/n. 08907 L'Hospitalet de Llobregat. Barcelona. España
, J. Moyaa,b, V. Turónc, J. Péreza, R. Villalongad, R. Moreraa, V. Pernaa, G. Ferrera
a Servicio de Cirugía Torácica, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
b Departament d'Anatomia Humana i Embriología, Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain
c Servicio de Psiquiatría, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
d Servicio de Anestesiología y Reanimación, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
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Article information
Objective

TO determine the location of hyperhidrosis, the accompanying signs and symptoms, and patient anxiety assessed on 2 scales and standardized psychometric instruments.

Patients and methods

A prospective study of patients with hyperhidrosis was carried out between September 1, 2001 and June 30, 2003 with a self-administered preoperative questionnaire. The variables studied included the location of hyperhidrosis, the accompanying signs and symptoms, and the self-reported degree of anxiety and perception of its effect on daily life assessed by the State-Trait Anxiety Inventory (STAI) and a questionnaire designed in our department.

Results

Palmar hyperhidrosis was reported by 93.6% of patients, plantar by 70.2%, axillary by 66.4%, facial by 12.1%, groin by 8.2%, chest by 5%, and abdominal by 2%. While more than 50% of the patients reported facial blushing and palpitations as accompanying signs and symptoms, approximately 30% experienced epigastric pain, trembling, and headaches. Over half of the patients reported that their anxiety was incapacitating, and a mere 1.2% experienced none at all. STAI scores were similar to those of the general population whereas scores on our department's questionnaire reflected those of the self-reported anxiety ratings.

Conclusions

Primary hyperhidrosis is a disorder in which excessive sweating occurs mainly, but not exclusively, on the palms. The condition is accompanied by signs and symptoms typical of autonomic nervous system hyperactivity and by a degree of anxiety that has an incapacitating effect on normal life, although that anxiety is not detected by the STAI questionnaire alone.

Key Words:
Primary hyperhidrosis
Anxiety
Sympathetic hyperreactivity
State-Trait Anxiety Inventory (STAI)
Objetivo

Determinar la localización de la hiperhidrosis, la clínica acom pa ñante y la ansiedad que refieren los pacientes tanto subjetivamente como mediante instrumentos psicométricos estandarizados.

Pacientes Y Métodos

Estudio prospectivo realizado en-tre el 1 de septiembre de 2001 y el 30 de junio de 2003 mediante una encuesta autoadministrada preoperatoria a los pacientes con hiperhidrosis. Las variables de estudio fueron: localización de la hiperhidrosis, clínica acompañante, ansiedad subjetiva y percepción de ésta en la vida diaria mediante el cuestionario Escala de Ansiedad Estado-Rasgo (STAI) y un cuestionario elaborado por nuestro servicio.

Resultados

La localización de la hiperhidrosis fue palmar en el 93,6% de los pacientes, plantar en el 70,2%, axilar en el 66,4%, facial en el 12,1%, inguinal en el 8,2%, pectoral en un 5% y abdominal en un 2%. En cuanto a la clínica acompañante, el enrojecimiento facial y las palpitaciones superaban el 50%, mientras que alrededor de un 30% presentaba epigas-tralgia, temblor y cefalalgia. En cuanto a la ansiedad subjetiva, más de la mitad de los pacientes presentaban ansiedad in-capacitante y sólo el 1,2% no la experimentaban en ningün grado. Segün el STAI, los valores obtenidos reflejaban un pa-ralelismo con la población general, mientras que nuestro cuestionario reflejó la ansiedad autorreferida.

Conclusiones

La hiperhidrosis primaria es un trastorno que cursa principalmente con hipersudación palmar, aun-que no de forma exclusiva. Se acompaña de clínica típica de hiperactividad del sistema vegetativo y un grado de ansiedad que incapacita para Ilevar una vida normal y que, sin embargo, no se detecta mediante el cuestionario STAI.

Palabras clave:
Hiperhidrosis primaria
Ansiedad
Hiperre-actividad simpática
STAI
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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