People with anhidrosis are not able to perspire normally. Transpiration, however, is necessary for the body to cool itself.
Otherwise it can lead to overheating, which can lead to the heart attack in the worst cases. However, anhidrosis is difficult to diagnose. Mild anhidrosis usually remains undetected and can be caused by many causes; For example, by skin injuries, certain diseases or drugs.
It is possible to have anhidrosis, but you can develop the disorder later. The treatment of anhidrosis is in the cure of the causative factors, if any can be found.
Anhidrosis occurs when the sweat glands stop working and this can have a variety of causes.
Nerve damage: The nervous system of the body is complex and does a lot of important tasks. However, if the nerves fail to register overheating, for example, they may have been harmed by (among others): diabetes, alcohol abuse, Parkinson's, multisystem atrophy, amyloidosis, Sjögren's syndrome, lung cancer, and Horner's syndrome.
Skin Diseases: Certain skin diseases that cause clogging of the pores are the most common cause of anhidrosis. But even large-scale injuries (due to traffic accidents or burns) can cause anhidrosis.
Medicines: A large number of medicines can cause anhidrosis. These include, for example, heart and blood medicines, but also psychotropic drugs.
Genetic disorders: Some congenital diseases lead to poorer function of the sweat glands.
Dehydration: If the body has taken in too little fluid to perform its normal functions, this, in combination with anhidrosis, can have fatal consequences.
Anhidrosis manifests itself through a series of symptoms. As a result of overheating can lead to circulatory problems and as a result to heat stroke and a life-threatening circulatory collapse. In severe cases, as a result of overheating, multiple organ failure occurs, eventually causing the patient to die. Local anhidrosis is less serious.
Typically, the disease is limited to certain areas of the body and causes, for example, coagulation disorders, inflammation or nerve damage. The dry skin is also more susceptible to rashes, infections and other skin changes. In the long term, anhidrosis can cause premature aging of the skin. Muscles can cause paralysis, seizures and sensory disturbances due to overheating.
Also convulsions can not be ruled out. Acute anhidrosis is characterized by dizziness, nausea and itching. In most cases, skin redness or even swelling, which is sensitive to pressure, also occur. Overall, the patient is more sensitive to high and low temperatures.
This leads to increased malaise and sudden exhaustion. Externally an anhidrosis sometimes shows a red coloration of the skin. In addition, the skin in the affected area is very warm and hurts when touched. Since a disorder of the sweat glands can manifest itself by many-shaped symptoms, always a medical clarification is needed.
A doctor can diagnose anhidrosis by physically examining and questioning the symptoms and medical history. But there may be more tests needed to be sure.
Axon Reflex Test: In this test, small electrodes are installed on the arms or legs. By stimulating the sweat glands they are stimulated to production. At the same time the amount of leaking liquid is measured.
Silastic welding impression: Similar to the previous test. But the amount of liquid is measured by the impression in a special rubber layer (Silastic).
Thermoregulatory Sweat Test: In this test, the patient is wetted with a special powder that has a color reaction when in contact with liquid. Then the patient comes to a heated room where his transpiration is captured by photos.
Biopsy: Tissue extraction is also possible. Here affected sweat glands can be analyzed directly.
Anhidrosis can cause many complications. First, there is a risk that the body overheats due to the lack of perspiration. This can lead to circulatory problems and as a result to heat stroke and a potentially life-threatening circulatory collapse. In extreme cases, overheating causes multiple organ failure and ultimately death.
Local anhidrosis is limited to specific areas of the body and can cause various problems such as coagulation disorders, nerve damage and inflammation. The dried-up skin is also at a higher risk of rashes, infections and severe skin changes, including premature aging of the skin. The lack of cooling in the muscles can lead to muscle cramps and paralysis. Acute causes the anhidrosis dizziness and nausea and itching and skin lesions.
In addition, there is an increased sensitivity to high and low temperatures, which is often associated with severe discomfort and fatigue. In the context of anhidrosis therapy prescribed care products can lead to allergies and thus to an intensification of the symptoms. Other complications depend on the underlying disease, ranging from chronic nerve damage (in nervous disorders) to spinal cord damage (in syringomyelia).
If the child experiences a lack of or very little sweating, talk to the pediatrician. The physician can detect anhidrosis through questioning and physical examination and suggest appropriate treatment.
Sometimes simple precautions are sufficient to adequately alleviate anhidrosis problems. In severe cases, however, the disease must be strictly monitored by a physician. Especially with children and adolescents suffering from anhidrosis should be consulted regularly.
Although serious complications are unlikely, medical education on avoidance strategies and the dangers of the disease is always advisable. If convulsions, hot flashes and similar symptoms do not recede after a few minutes, medical help is needed.
For severe symptoms such as overheating or severe circulatory problems, an emergency doctor must be called. Accompanying this are sometimes also first-aid measures such as cooling and the removal of cramping clothing perform. Patients should then talk to the doctor and consider further treatment.
Treatment for anhidrosis is not always necessary. If it affects only small areas of the body, it will hardly have serious effects on the organism.
But anhidrosis, which leads to a greatly reduced transpiration, can be life-threatening. Depending on the disorder causing anhidrosis, several therapies exist. Especially symptoms caused by heat require immediate treatment. In acute overheating, the person should lie down and cool down. Cold fruit juice or sports drinks with an increased amount of electrolytes help the body to regenerate.
If cramps and symptoms do not recede after one hour, medical help should be sought. As a precaution, it is advisable to rest for a few hours before picking up strenuous activities again. In some cases, overheating can lead to a heart attack. If this occurs, the affected person needs an emergency doctor immediately.
Until this is not there, the person affected should be brought to a cool, shady place, his clothes loosened and possibly sprinkled with cold water.
Weak anhidrosis does not have a significant effect on the patient's body or well-being. A treatment is not necessary, so that the complaints can be present for life, without impact or a feeling of sickness occur.
In severe anhidrosis, the difficulty is to determine the cause. Once it has been clarified, good forecasting prospects are usually available. Many patients come to a medical care with a subsequent permanent cure of the disease. Alternatively, the knowledge of prevention techniques is taught and the detection of early warnings learned. Without a clarification of the causes, there may be an increase in complaints. The forecasts are then less optimistic.
In rare cases, a life-threatening condition threatens. If the sweat production continuously decreases and applied therapies remain ineffective, the body overheats. Multiple organ failure resulting in death is possible. However, without a clarified cause of anhidrosis, any patient may initiate relief measures in the detection of early warning signals.
In addition, daily provisions should be taken, even if there are no complaints. With this care for oneself and one's own health, the risk of a life threat is reduced significantly. Nevertheless, an outbreak of symptoms is expected at any time, as without a cause treatment no cure is achieved.
Anhidrosis itself can not be prevented, but the lethal consequences of overheating can be avoided. People suffering from anhidrosis should wear loose and light clothing when it is very warm. On hot days, they should stay in cool rooms. They should also avoid overexerting and learning to listen to the warning signals of their body.
After the anhidrosis has been treated, no further discomfort should occur. During the follow-up, the doctor examines the patient comprehensively again, so that any symptoms can be detected and treated directly. The doctor will do an examination of the skin. If no abnormalities show, this is usually sufficient to make the diagnosis.
In case of abnormal skin changes further investigations must be made. In any case, the physician will have a conversation with the patient. A low level of well-being or discomfort indicates an abduction of anhidrosis. Depending on the patient's state of health, additional measures often have to be taken.
The anhidrosis aftercare may also include examinations by other specialists. In addition to the dermatologist, specialists in internal medicine are often included in the follow-up care. Depending on the cause, dietitians and physical therapists must also be involved in order to effectively treat the trigger of anhidrosis.
If these measures are not effective, symptomatic therapy should be restarted. In the case of a positive course, the follow-up is limited to a few medical appointments, in which the course of the disease is reviewed and, if necessary, the prescribed medication is dosed out.
Anhidrosis does not necessarily have to be treated by a doctor. If the disease affects only small areas of the body, the reduced transpiration can be counteracted by a few self-help tips and home remedies.
First, direct sunlight and strong physical exertion should be avoided. Sweat can also be reduced with cool compresses and regular, light yoga exercises. Also dietary measures such as the caffeine and spicy food help to adapt the sweat production naturally to the disease.
On stimulants such as alcohol and nicotine anhidrosis sufferers should avoid in any case. Should there be overheating, the following applies: lie down and cool down. Those affected should rest in a cool, shady spot, loosen their clothes and perhaps sprinkle with water.
Cold mineral water, fruit juice and sports drinks help the body to regenerate. If available, medicinal plants such as nerve-calming red clover and anticonvulsant mugwort may also be used. Despite all measures, overheating can lead to severe circulation problems. In case of a collapse or a heart attack, the emergency doctor must be called immediately. Under certain circumstances, first aid measures must be taken until the doctor arrives.