{"id":9637,"date":"2019-07-31T17:05:41","date_gmt":"2019-07-31T22:05:41","guid":{"rendered":"http:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/?p=9637"},"modified":"2025-09-29T12:44:32","modified_gmt":"2025-09-29T18:44:32","slug":"hiperhidrosis","status":"publish","type":"post","link":"https:\/\/massalud.facmed.unam.mx\/index.php\/hiperhidrosis\/","title":{"rendered":"\u00bfHiperhidrosis?"},"content":{"rendered":"\n[et_pb_section fb_built=\u00bb1″ _builder_version=\u00bb3.24″][et_pb_row _builder_version=\u00bb3.24″ custom_padding=\u00bb0px|||||\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb3.24″][et_pb_image src=\u00bbhttp:\/\/liceaga.facmed.unam.mx\/revistas\/masalud\/wp-content\/uploads\/2019\/07\/InfoHiperhidrosis_Mesa-de-trabajo-1.jpg\u00bb _builder_version=\u00bb3.24″][\/et_pb_image][et_pb_text _builder_version=\u00bb3.24″]

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Es un trastorno primario que se caracteriza por la sudoraci\u00f3n excesiva que se produce en respuesta al calor o est\u00edmulos emocionales que superan a los fisiol\u00f3gicos. Principalmente se presenta en las palmas de las manos, con menor frecuencia en las plantas, regi\u00f3n axilar, en la cara, zona abdominal y dorsal.<\/p>\n

Suele aparecer en el inicio de la edad infantil, generando un empeoramiento progresivo hacia la pubertad (entre los 14 y 25 a\u00f1os de edad) y disminuyendo en edades avanzadas.<\/p>\n

Las gl\u00e1ndulas sudor\u00edparas se activan por el sistema nervioso simp\u00e1tico, el centro de termorregulaci\u00f3n del hipot\u00e1lamo transmite las se\u00f1ales a trav\u00e9s de los nervios simp\u00e1ticos preganglionares.<\/p>\n

Tipos.<\/p>\n

Hiperhidrosis primaria o idiop\u00e1tica, generalmente es focal y se limita a las axilas, palmas, plantas, zona craneofacial y otras zonas espec\u00edficas. Se acent\u00faa por procesos emocionales, efecto t\u00e9rmico y est\u00edmulos vasodilatadores.<\/p>\n

Hiperhidrosis generalizada, afecta a la mayor parte de la superficie corporal y en la mayor\u00eda de los casos es la manifestaci\u00f3n de una causa subyacente.<\/p>\n

Hiperhidrosis secundaria, \u00e9sta puede originarse por trastornos neurol\u00f3gicos, end\u00f3crinos, infecciosos, tumorales y por f\u00e1rmacos como los opioides, algunos antiinflamatorios no esteroideos, antidepresivos, calcioantagonistas o quimioter\u00e1picos, incluye infecciones agudas y cr\u00f3nicas, insuficiencia respiratoria, s\u00edndromes de privaci\u00f3n alcoh\u00f3licos, drogas y otras condiciones asociadas a una alta descarga simp\u00e1tica como shock cardiog\u00e9nico, tirotoxicosis, diabetes mellitus, hiperpituarismo y feocomocitoma.<\/p>\n

Para diagnosticarla se debe analizar la historia cl\u00ednica, realizar una exploraci\u00f3n f\u00edsica y estudios como la t\u00e9cnica del yodo \u2013 almid\u00f3n para evaluar el volumen de producci\u00f3n del sudor o la gravimetr\u00eda en la cual se utilizan filtros de papel con el mismo fin.<\/p>\n

Existen diversos tratamientos farmacol\u00f3gicos, entre los cuales se considera el cloruro de aluminio y quir\u00fargico, en \u00e9ste \u00faltimo se hace una extirpaci\u00f3n selectiva de las gl\u00e1ndulas ecrinas y apocrinas entre otras t\u00e9cnicas.<\/p>\n

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 <\/p>\n

 <\/p>\n

Con informaci\u00f3n de Cristian Joshua Hern\u00e1ndez Gonz\u00e1lez, M\u00e9dico Pasante de Servicio Social de la Facultad de Medicina, UNAM.<\/strong><\/p>\n

Fuentes:<\/strong><\/p>\n

https:\/\/www.medigraphic.com\/pdfs\/cutanea\/mc-2012\/mc126b.pdf<\/a><\/p>\n

https:\/\/www.binasss.sa.cr\/revistas\/rmcc\/619\/art28.pdf<\/a><\/p>\n

https:\/\/www.elsevier.es\/es-revista-semergen-medicina-familia-40-pdf-S0001731010000554?redirectNew=true<\/a><\/p>\n

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