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The Correlation Between the Anxiety and the Amount of the Sweat Gland Secretion in the Patients with Palmar Hyperhidrosis

Received: 21 July 2016    Accepted: 31 August 2016    Published: 29 September 2016
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Abstract

Hyperhidrosis is also known as polyhidrosis or sudorrhea, which defines as the secretion of the sweat that exceeds the amount necessary for thermoregulation of the body. Palmar hyperhidrosis is excessive sweat secretion and is limited to the area of the palm. Anxiety is associated with feelings of uncertainty and helplessness. This emotional state does not have a specific object. Conditions subjectively experienced and communicated in interpersonal relationships. The purpose of this study was to determine the relationship between anxiety with the number of sweat glands secretion in patients with palmar hyperhidrosis. This study was an observational study with cross sectional design and analytical approach, conducted at Outpatient Clinic of Dermatology and Venereology Department of Dr. Wahidin Sudirohusodo Makassar, Hasanuddin University Hospital, and Senior High School in Makassar. This study began in February to April 2016. The number of samples are 40 people who suffered from palmar hyperhidrosis with the largest age distribution that is less than 20 years as many as 26 samples (65.0%). A total of 40 samples (100.0%) do not suffer secondary disorder, experiencing excessive sweating for at least 6 months, lasting at least one week, with bilateral symmetrical distribution, the onset of age 25 or younger and no sweat at night day. Family history of suffering from palmar hyperhidrosis were found in 12 samples (30.0%). There is a daily impact on palmar hyperhidrosis patients as many as 13 samples (32.5%). Students are the most in this study as many as 26 samples (65.0%). The onset of age palmar hyperhidrosis is the most at the age of 13 to 18 years from 21 samples (52.2). The severe palmar hyperhidrosis is the most in this study, there are 16 samples (40.0%). The degrees of moderate anxiety were the most in this study as many as 25 samples (62.5%). In this study, there is a tendency relationship between the degree of anxiety by the number of sweat glands secretion. Norepinephrine associated with severity of palmar hyperhidrosis. The highest level of norepinephrine is in the mild grade of palmar hyperhidrosis. There is a tendency correlation between the score of the Hamilton Rating Scale for Anxiety with blood plasma norepinephrine levels.

Published in American Journal of Clinical and Experimental Medicine (Volume 4, Issue 5)
DOI 10.11648/j.ajcem.20160405.15
Page(s) 138-145
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Palmar Hyperhidrosis, Anxiety, the Number of Sweat Glands Secretion

References
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[4] Lakraj, A.-A. D., N. Moghimi, and B. Jabbari, Hyperhidrosis: Anatomy, Pathophysiology and Treatment with Emphasis on the Role of Botulinum Toxins. Toxins, 2013. 5: p. 821-840.
[5] Stefaniak, T. J. and M. Proczko, Gravimetry in sweating assessment in primary hyperhidrosis and healthy individuals. Clin Auton Res, 2013. 23: p. 197-200.
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[7] Rasmun, Stres, in Stres, Koping dan Adaptasi 2004, Sagung Seto: Jakarta. p. 7-22.
[8] Hawari, D., Kecemasan, in Manajemen Stres, Cemas dan Depresi 2013, Fakultas Kedokteran Universitas Indonesia: Jakarta. p. 63-83.
[9] Sherwood, L., Sistem Saraf Perifer: Divisi Eferen, in Human Physiology: From Cells to System 2001, A division of International Thomsom Publishing. p. 196-211.
[10] Jafferany, M., Psychodermatology: A Guide to Understanding Common Psychocutaneous Disorders. J Clin Psychiatry, 2007. 9: p. 203-213.
[11] Cohen, S., D. Janicki-Deverts, and G. E. Miller, Psychological Stress and Disease. JAMA, 2007. 298 (14): p. 1685-1687.
[12] Guyton, A. C. and J. E. Hall, Otonom Medula Adrenal, in Textbook of Medical Physiology, D. Widjajakusumah and A. Tanzil, Editors. 2013, W. B. Saunders Company: Philadelpihia. p. 957-973.
[13] Wheaton, M. G., A. E. Braddock, and J. S. Abramowitz, The Sweating Cognitions Inventory: A Measure of Cognitions in Hyperhidrosis. J Psychopathol Behav Assess, 2011. 33: p. 393-402.
[14] Schlereth, T., M. Dieterich, and F. Birklein, Hyperhidrosis - Causes and Treatment of Enhanced Sweating. Dtsch Arztebl Int, 2009. 106 (3): p. 32-37.
[15] Kalantaria, K. K., et al., The Effect and Persistency of 1% Aluminum Chloride Hexahydrate Iontophoresis in the Treatment of Primary Palmar Hyperhidrosis. IJPR, 2011. 10 (3): p. 641-645.
[16] Khalid, S. G., Quantification of Hyperhidrosis using Electronic Sudometer, in Quantification of Hyperhidrosis using Electronic Sudometer, B. J. Sjöberg, Editor 2013, Royal Institute of Technology: Sweden. p. 1-43.
[17] Hamilton, M., The assessment of anxiety states by rating. Br J Med Psychol, 1959. 32: p. 50-55.
[18] Yazbek, G., et al., Twenty Months of Evolution Following Sympathectomy on Patients with Palmar Hyperhidrosis: Sympathectomy at the T3 Level is Better Than at the T2 Level. Clinics, 2009. 64 (8): p. 743-749.
[19] Walling, H. W. and B. L. Swick, Treatment Options for Hyperhidrosis. Am J CIln Dermotol, 2011. 12 (5): p. 266-295.
[20] Leung, A. K. and B. Barankin, Palmar Hyperhidrosis. J Neonatol Clin Pediatr, 2014. 1 (1): p. 1-2.
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[24] Akbar, T. M., et al., Efficacy and safety of tap water iontophoresis for palmoplantar hyperhidrosis. JPAD, 2013. 23 (3): p. 304-309.
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    Regina Mihardja, Alwi Mappiasse, Anis Irawan Anwar, Arifin Seweng, Sonny Lisal, et al. (2016). The Correlation Between the Anxiety and the Amount of the Sweat Gland Secretion in the Patients with Palmar Hyperhidrosis. American Journal of Clinical and Experimental Medicine, 4(5), 138-145. https://doi.org/10.11648/j.ajcem.20160405.15

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    ACS Style

    Regina Mihardja; Alwi Mappiasse; Anis Irawan Anwar; Arifin Seweng; Sonny Lisal, et al. The Correlation Between the Anxiety and the Amount of the Sweat Gland Secretion in the Patients with Palmar Hyperhidrosis. Am. J. Clin. Exp. Med. 2016, 4(5), 138-145. doi: 10.11648/j.ajcem.20160405.15

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    AMA Style

    Regina Mihardja, Alwi Mappiasse, Anis Irawan Anwar, Arifin Seweng, Sonny Lisal, et al. The Correlation Between the Anxiety and the Amount of the Sweat Gland Secretion in the Patients with Palmar Hyperhidrosis. Am J Clin Exp Med. 2016;4(5):138-145. doi: 10.11648/j.ajcem.20160405.15

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  • @article{10.11648/j.ajcem.20160405.15,
      author = {Regina Mihardja and Alwi Mappiasse and Anis Irawan Anwar and Arifin Seweng and Sonny Lisal and Andi Wardihan Sinrang},
      title = {The Correlation Between the Anxiety and the Amount of the Sweat Gland Secretion in the Patients with Palmar Hyperhidrosis},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {4},
      number = {5},
      pages = {138-145},
      doi = {10.11648/j.ajcem.20160405.15},
      url = {https://doi.org/10.11648/j.ajcem.20160405.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20160405.15},
      abstract = {Hyperhidrosis is also known as polyhidrosis or sudorrhea, which defines as the secretion of the sweat that exceeds the amount necessary for thermoregulation of the body. Palmar hyperhidrosis is excessive sweat secretion and is limited to the area of the palm. Anxiety is associated with feelings of uncertainty and helplessness. This emotional state does not have a specific object. Conditions subjectively experienced and communicated in interpersonal relationships. The purpose of this study was to determine the relationship between anxiety with the number of sweat glands secretion in patients with palmar hyperhidrosis. This study was an observational study with cross sectional design and analytical approach, conducted at Outpatient Clinic of Dermatology and Venereology Department of Dr. Wahidin Sudirohusodo Makassar, Hasanuddin University Hospital, and Senior High School in Makassar. This study began in February to April 2016. The number of samples are 40 people who suffered from palmar hyperhidrosis with the largest age distribution that is less than 20 years as many as 26 samples (65.0%). A total of 40 samples (100.0%) do not suffer secondary disorder, experiencing excessive sweating for at least 6 months, lasting at least one week, with bilateral symmetrical distribution, the onset of age 25 or younger and no sweat at night day. Family history of suffering from palmar hyperhidrosis were found in 12 samples (30.0%). There is a daily impact on palmar hyperhidrosis patients as many as 13 samples (32.5%). Students are the most in this study as many as 26 samples (65.0%). The onset of age palmar hyperhidrosis is the most at the age of 13 to 18 years from 21 samples (52.2). The severe palmar hyperhidrosis is the most in this study, there are 16 samples (40.0%). The degrees of moderate anxiety were the most in this study as many as 25 samples (62.5%). In this study, there is a tendency relationship between the degree of anxiety by the number of sweat glands secretion. Norepinephrine associated with severity of palmar hyperhidrosis. The highest level of norepinephrine is in the mild grade of palmar hyperhidrosis. There is a tendency correlation between the score of the Hamilton Rating Scale for Anxiety with blood plasma norepinephrine levels.},
     year = {2016}
    }
    

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    AU  - Regina Mihardja
    AU  - Alwi Mappiasse
    AU  - Anis Irawan Anwar
    AU  - Arifin Seweng
    AU  - Sonny Lisal
    AU  - Andi Wardihan Sinrang
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    N1  - https://doi.org/10.11648/j.ajcem.20160405.15
    DO  - 10.11648/j.ajcem.20160405.15
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    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
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    EP  - 145
    PB  - Science Publishing Group
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    AB  - Hyperhidrosis is also known as polyhidrosis or sudorrhea, which defines as the secretion of the sweat that exceeds the amount necessary for thermoregulation of the body. Palmar hyperhidrosis is excessive sweat secretion and is limited to the area of the palm. Anxiety is associated with feelings of uncertainty and helplessness. This emotional state does not have a specific object. Conditions subjectively experienced and communicated in interpersonal relationships. The purpose of this study was to determine the relationship between anxiety with the number of sweat glands secretion in patients with palmar hyperhidrosis. This study was an observational study with cross sectional design and analytical approach, conducted at Outpatient Clinic of Dermatology and Venereology Department of Dr. Wahidin Sudirohusodo Makassar, Hasanuddin University Hospital, and Senior High School in Makassar. This study began in February to April 2016. The number of samples are 40 people who suffered from palmar hyperhidrosis with the largest age distribution that is less than 20 years as many as 26 samples (65.0%). A total of 40 samples (100.0%) do not suffer secondary disorder, experiencing excessive sweating for at least 6 months, lasting at least one week, with bilateral symmetrical distribution, the onset of age 25 or younger and no sweat at night day. Family history of suffering from palmar hyperhidrosis were found in 12 samples (30.0%). There is a daily impact on palmar hyperhidrosis patients as many as 13 samples (32.5%). Students are the most in this study as many as 26 samples (65.0%). The onset of age palmar hyperhidrosis is the most at the age of 13 to 18 years from 21 samples (52.2). The severe palmar hyperhidrosis is the most in this study, there are 16 samples (40.0%). The degrees of moderate anxiety were the most in this study as many as 25 samples (62.5%). In this study, there is a tendency relationship between the degree of anxiety by the number of sweat glands secretion. Norepinephrine associated with severity of palmar hyperhidrosis. The highest level of norepinephrine is in the mild grade of palmar hyperhidrosis. There is a tendency correlation between the score of the Hamilton Rating Scale for Anxiety with blood plasma norepinephrine levels.
    VL  - 4
    IS  - 5
    ER  - 

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Author Information
  • Department of Dermatology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

  • Department of Dermatology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

  • Department of Dermatology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

  • Department of Biostatistic, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

  • Department of Psychiatry, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

  • Department of Physiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

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