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Peripheral vascular endothelial function in essential hyperhidrosis

delete2005-01-01
delete3
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OA
AI
A
Ali Metin Esen
İ
İrfan Barutçu
M
Mustafa Kulaç
Ö
Özlem Esen
O
Osman Karakaya
M
Mehmet Melek
E
Ersel Onrat
C
Celal Kılıt
DOI:10.1253/circj.69.707delete
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Abstract

Abstract

En 中文
Background Essential hyperhidrosis, a disorder of the eccrine sweat glands, is associated with sympathetic overactivity and the aim of the present study was to determine endothelium-dependent vasodilator function in patients with this condition. Methods and Results Using high-resolution ultrasound, the diameter of the brachial artery at rest and during reactive hyperemia (flow-mediated dilatation, %FMD endothelial-dependent stimulus to vasodilatation), as well as after sublingual administration of nitroglycerin (%NTG endothelium-independent vasodilatation) was measured in 18 subjects (mean age 27 +/- 5 years) with essential hyperhidrosis and 24 healthy control subjects (mean age 29 +/- 5 years). Baseline brachial artery diameter and FMD were comparable in both groups (BAD: 4.1 +/- 0.7mm vs 4.3 +/- 0.5mm (control), p=0.8; FMD: 5.6 +/- 1.9% vs 6.7 +/- 2.2%, p=0.1). The time-averaged flow velocity during peak reactive hyperemia was similar in the 2 groups (75 +/- 11 cm/s vs 72 +/- 10cm/s, p=0.5), nor did NTG-induced dilatation in the patients with essential hyperhidrosis differ significantly from that in healthy control subjects (12.8 +/- 2.7% vs 14.0 +/- 3.6%, p=0.3). Conclusion These findings suggest that endothelium-dependent dilatation of large conduit arteries is preserved in essential hyperhidrosis and it seems to be a localized disorder of the eccrine sweat glands rather than a generalized disorder involving -vascular endothelium.
Keywords:
cardiac autonomic regulation
endothelial function
essential hyperhidrosis
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Journal

C
Circulation Journal
IF:
3.7
Papers:
8.3K
Citations:
1.0W

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