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Pulmonary Carcinoma and Provocative Sweat Testing

Pulmonary Carcinoma and Provocative Sweat Testing Abstract To the Editor.— In the article entitled "Apical Pulmonary Adenocarcinoma With Contralateral Hyperhidrosis" by McCoy and published in the October 1981 Archives (117-659-661), McCoy failed to evaluate one important aspect of the sweat gland function of the skin ipsilateral to the tumor. A provocative sweat test would probably have shown hypohidrosis or even anhidrosis on the ipsilateral side.The test requires that the patient's legs be submerged in water at a temperature of 45 °C for 30 minutes to raise his core temperature; the starch iodide test normally shows sweating over the entire upper part of the body.1 Photographs should be taken as soon as a good sweat response appears and before dripping and pooling of sweat confuse the pattern.A tumor invading the sympathetic nerves either irritates them, causing ipsilateral hyperhidrosis,2 or destroys them, causing ipsilateral hypohidrosis.3 In the case of ipsilateral hypohidrosis, reflex contralateral compensatory References 1. Cunliffe WJ, Johnson CE, Williamson DM: Localized unilateral hyperhidrosis: A clinical and laboratory study . Br J Dermatol 1972;86:374-378.Crossref 2. Walsh JC, Low PA, Allsop JL: Localized sympathetic overactivity: an uncommon complication of lung cancer . J Neurol Neurosurg Psychiatry 1976;39:93-95.Crossref 3. Stanford F: Sympathetic nerve involvement with mesothelioma of the pleura . Br J Dis Chest 1976;70:134-137.Crossref 4. Sulzberger MB: The clinical significance of certain disturbances in sweating . Dermatologica 1956;112:161-188.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pulmonary Carcinoma and Provocative Sweat Testing

Chan, Philip
Archives of Dermatology , Volume 119 (3) – Mar 1, 1983
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Pulmonary Carcinoma and Provocative Sweat Testing

Abstract

Abstract To the Editor.— In the article entitled "Apical Pulmonary Adenocarcinoma With Contralateral Hyperhidrosis" by McCoy and published in the October 1981 Archives (117-659-661), McCoy failed to evaluate one important aspect of the sweat gland function of the skin ipsilateral to the tumor. A provocative sweat test would probably have shown hypohidrosis or even anhidrosis on the ipsilateral side.The test requires that the patient's legs be submerged in water at a...
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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1983.01650270003001
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— In the article entitled "Apical Pulmonary Adenocarcinoma With Contralateral Hyperhidrosis" by McCoy and published in the October 1981 Archives (117-659-661), McCoy failed to evaluate one important aspect of the sweat gland function of the skin ipsilateral to the tumor. A provocative sweat test would probably have shown hypohidrosis or even anhidrosis on the ipsilateral side.The test requires that the patient's legs be submerged in water at a temperature of 45 °C for 30 minutes to raise his core temperature; the starch iodide test normally shows sweating over the entire upper part of the body.1 Photographs should be taken as soon as a good sweat response appears and before dripping and pooling of sweat confuse the pattern.A tumor invading the sympathetic nerves either irritates them, causing ipsilateral hyperhidrosis,2 or destroys them, causing ipsilateral hypohidrosis.3 In the case of ipsilateral hypohidrosis, reflex contralateral compensatory References 1. Cunliffe WJ, Johnson CE, Williamson DM: Localized unilateral hyperhidrosis: A clinical and laboratory study . Br J Dermatol 1972;86:374-378.Crossref 2. Walsh JC, Low PA, Allsop JL: Localized sympathetic overactivity: an uncommon complication of lung cancer . J Neurol Neurosurg Psychiatry 1976;39:93-95.Crossref 3. Stanford F: Sympathetic nerve involvement with mesothelioma of the pleura . Br J Dis Chest 1976;70:134-137.Crossref 4. Sulzberger MB: The clinical significance of certain disturbances in sweating . Dermatologica 1956;112:161-188.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Mar 1, 1983

References

  • Localized unilateral hyperhidrosis: A clinical and laboratory study
    Cunliffe WJ, Johnson CE, Williamson DM
  • Localized sympathetic overactivity: an uncommon complication of lung cancer
    Walsh JC, Low PA, Allsop JL
  • Sympathetic nerve involvement with mesothelioma of the pleura
    Stanford F
  • The clinical significance of certain disturbances in sweating
    Sulzberger MB