Download - Hyperhidrosis 5
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HyperhidrosisHyperhidrosis A True Affl ictionA True Affl iction HRQoL in HyperhidrosisHRQoL in Hyperhidrosis
ByBy Aliaa El-HusseinyAliaa El-Husseiny
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Primary hyperhidrosis of palms, Primary hyperhidrosis of palms, soles, axilla and forehead soles, axilla and forehead Affects 1% of populationAffects 1% of population (in USA, 2.8%)(in USA, 2.8%)
begins during childhood or begins during childhood or just after pubertyjust after puberty
a family historya family history
bilateral and symmetricalbilateral and symmetrical
Anxiety, heat and exertion Anxiety, heat and exertion
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Hyperhidrosis Hyperhidrosis is notis not a serious medicala serious medical problem problem butbut i t is a serious social it is a serious social problemproblem
Mean DLQI scoresMean DLQI scores 5.8 to 5.8 to 6.86.8
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(Harlow et al., British J Dermatol,2000)
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9.5
8.6
6.7
6.3
6.4
5.9
5.5
0 2 4 6 8 10 12
psoriasis
urticaria
scabies
eczema
acne
hyperhidrosis
lichen planus
leg ulcer
DRQoL in adults
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9.5
8.6
6.7
6.3
6.4
5.9
5.5
0 2 4 6 8 10 12
Psoriasis
Urticaria
Scabies
Urticaria
Acne
Hyperhidrosis
Lichen planus
Leg ulcer
DLQI
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How Hyperhidrosis Affects Life?
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DD aily Lifeaily Life
Hands and feetHands and feetbecome slippery become slippery
Holding objectsHolding objects Playing favorite sportsPlaying favorite sports Writing a letter or Writing a letter or
reading the mailreading the mail Driving may be Driving may be
dangerous dangerous
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In children: interfere In children: interfere with learning , using with learning , using computers or musical computers or musical instrumentsinstruments
PatientsPatients often take lots often take lots of showers , change of showers , change their clothes multiple their clothes multiple times a day times a day
Never wear some Never wear some colors or sandals colors or sandals
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Career SuccessCareer Success
How I am going to
handshake the
interviewer
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Social EmbarrassmentSocial Embarrassment
Reluctant to share Reluctant to share a hug, to dance, to a hug, to dance, to get close and even get close and even avoid simple avoid simple handshake handshake
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Insensitive family and friends reactionsInsensitive family and friends reactions Additional anxietyAdditional anxiety
More sweatingMore sweating
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Interpersonal RelationshipInterpersonal Relationship
Spend less time with Spend less time with friendsfriends
Reluctant in social and Reluctant in social and business settingsbusiness settings
Afraid of being Afraid of being repulsed by other sexrepulsed by other sex
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Psychological Well-beingPsychological Well-being
Patients lose Patients lose confidence in their confidence in their ability to socialize or ability to socialize or interact with othersinteract with others
become frustrated and become frustrated and
withdrawnwithdrawn
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Skin diseasesSkin diseases
IntertrigoIntertrigo ErythrasmaErythrasma Trichomycosis axillaris Trichomycosis axillaris BromohidrosisBromohidrosis Dermatitis Dermatitis Pitted keratolysisPitted keratolysis
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When patients seek When patients seek medical advise medical advise
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(Läuchli and Burg,2007)
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Treatment with BTX-A led to improvement in Treatment with BTX-A led to improvement in
QOL (mean DLQI 1.2-2.5) in all patients QOL (mean DLQI 1.2-2.5) in all patients
EBM 2
HH QoL5.8-6.8
HH QoL1.2-2.5
WITH BOTOX
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BTX-A improved patients in al l aspectsBTX-A improved patients in al l aspects
EBM 1
(Naumann et al, 2001)
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Satisfaction rate: Satisfaction rate: 97% in palmar hyperhidrosis 97% in palmar hyperhidrosis 95% in axil lary hyperhidrosis 95% in axil lary hyperhidrosis
EBM 2
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How dermatologists How dermatologists should see should see
hyperhidrosishyperhidrosis
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Every effort must be done to provide help and hope to patients
HH career career successsuccess
psychological well-beingpsychological well-being
personal personal relat ionshipsrelat ionships
Patients daily l i fePatients daily l i fe
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Yes Yes
Help is availableHelp is available
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Thank youThank you