This document discusses alterations of eccrine sweat glands, including hyperhidrosis (increased sweating), anhidrosis (lack of sweating), and miliaria. It describes different types of each alteration such as generalized vs localized hyperhidrosis, causes, symptoms, and treatments. The most common technical difficulties during thoracoscopic sympathectomy for plantar hyperhidrosis were pleural adhesions and anatomical variations such as azygos lobes. Postoperative satisfaction was initially high but decreased over time due to recurrence risk, while effectiveness and lack of compensatory sweating led to an excellent quality of life for most patients.

1. ALTERACION DE LAS
GLANDULAS
SUDORIPARAS
ECRINAS
DR. Carlos Renato Cengarle
miércoles, 14 de diciembre de
2022

2. ALTERACION DE LAS
GLANDULAS SUDORIPARAS
• HIPERHIDROSIS
• ANHIDROSIS
• MILIARIA

3. HIPERHIDROSIS
• AUMENTO DE LA SUDORACION
• GENERALIZADA
• LOCALIZADA
• SECUNDARIA A: DROGAS
• ANOMALIAS DEL S.IMPATICO

4. HIPERHIDROSIS
• GENERALIZADA
• LOCALIZADA

5. GENERALIZADA
1. NERVIOSO POR CALOR O
EMOCIONES.
2. INFECCIONES CON FIEBRE
3. PROCESOS MALIGNOS
4. ENFERMEDADES SISTEMICAS (
TIROIDES, DIABETES, OBESIDAD,
ICC. TETANOS, PARKINSSON,
ANSIEDAD, MENOPAUSIA, GOTA

6. HIPERHIDROSIS
• GENERALIZADA
• LOCALIZADA

7. LOCALIZADA
• ALTERACION DE LA MEDULA
ESPINAL
• LESIONES CEREBRALES
• IDIOPATICAS
• REGIONALES ( > AXILAS, PALMO-
PLANTAR, FACIAL.)

8. LOCALIZADA
• AXILAR
• FACIAL
• PALMOPLANTAR

9. AXILAR
• ESTIMULOS TERMICOS
• PSIQUICOS
• 25 % ASOCIADO A
PALMOPLANTAR

10. LOCALIZADA
• AXILAR
• FACIAL
• PALMOPLANTAR

11. FACIAL
• DIABETES
• GUSTATORIA ( PICANTE,
NERVIOSO )

12. LOCALIZADA
• AXILAR
• FACIAL
• PALMOPLANTAR

13. PALMO-PLANTAR
• PSIQUICOS
• EMOCIONALES ( NO EN SUEÑO )
• CALOR
• PUEDE DAR MACERACION
• MAL OLOR

14. ALTERACION DE LAS
GLANDULAS SUDORIPARAS
• HIPERHIDROSIS
• ANHIDROSIS
• MILIARIA

15. ANHIDROSIS
• FALTA DE SUDORACION ANTE
ESTIMULOS ADECUADOS.
• GENERALIZADA
• LOCALIZADA

16. ANHIDROSIS
GENERALIZADA
• DISPLASIA
ECTODERMICA
ANHIDROTICA

17. ANHIDROSIS
• GENERALIZADA
• LOCALIZADA

18. ANHIDROSIS
LOCALIZADA
• DIABETES
• ALTERACIONES
O REACCIONES
DEL SIMPATICO

19. ALTERACION DE LAS
GLANDULAS SUDORIPARAS
• HIPERHIDROSIS
• ANHIDROSIS
• MILIARIA

20. MILIARIA
• OCLUSION DEL CONDUCTO
SUDORIPARO.
• CRISTALINA
• RUBRA
• PUSTULOSA

21. CRISTALINA
• POR AUMENTO
DE
TEMPERATURA
• SUDORACION

22. MILIARIA
• OCLUSION DEL CONDUCTO
SUDORIPARO.
• CRISTALINA
• RUBRA
• PUSTULOSA

23. RUBRA
• PAPULAS
• VESICULAS
• PRURIGINOSAS
• CALOR
• HUMEDAD
• COCINEROS
• PANADEROS

25. MILIARIA
• OCLUSION DEL CONDUCTO
SUDORIPARO.
• CRISTALINA
• RUBRA
• PUSTULOSA

26. PUSTULOSA
• MAS PROFUNDA

28. OTRAS ALTERACIONES
• PSEUDOCROMOHIDROSIS
• BROMHIDROSIS
• PERIPORITIS

29. PSEUDOCROMOHIDROSIS
• COLORACION
DEL SUDOR
• POR
MEDICAMENTOS
• TINTES DE ROPA

30. OTRAS ALTERACIONES
• PSEUDOCROMOHIDROSIS
• BROMHIDROSIS
• PERIPORITIS

31. BROMHIDROSIS
• FLUIDO FETIDO
• ALIMENTOS ( AJO, CEBOLLA )
• OTRAS SUBSTANCIAS QUIMICAS

32. OTRAS ALTERACIONES
• PSEUDOCROMOHIDROSIS
• BROMHIDROSIS
• PERIPORITIS

33. PERIPORITIS
• INFECCION POR BACTERIAS

54. Success rate for thoracoscopic sympathetectomy was 93% (79/85)
overall.Conclusion TS for PH is a safe and feasible operation in children.
It is successful in the majority; however, the procedure is not trouble free.
Therapeutic success was achieved in 91% of
the cases as evidenced by anhidrosis.
The most common and severe technical difficulty during the procedure
was pleural adhesions in 116 cases (6.7%);
azygos lobes were seen in 7 patients (0.4%) and apical blebs in 3 patients (0.2%)
Postoperative satisfaction degree is high but decreases over
time owing to the appearance of recurrence.
Effectiveness and the absence of CS determine an excellent
quality of life. Six percent of the patients regret the surgery
because of severe CS. Informing patients of possible side
effects before TS is essential.