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Unilateral Hyperhydrosis in Pourfour du Petit Syndrome
Eur J Cardiothorac Surg 26:456-458, Kara, M.,et al, 2004
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Article Abstract
Upper limp hyperhidrosis is an idiopathic disease with bilateral involvement. However, Pourfour du Petit syndrome, the opposite of Homer syndrome, may result in unilateral upper limb hyperhidrosis. It occurs following hyperactivity of the sympathetic cervical chain as a consequence of irritation secondary to trauma. We report herein two cases with Pourfour du Petit syndrome showing unilateral upper limb hyperhidrosis. The patients presented with right-sided mydriasis and ipsilateral hemifacial hyperhidrosis. The onset of disease was followed by a trauma in both patients. They underwent upper thoracic sympathectomy with favorable outcome. A history of an antecedent trauma in patients with unilateral upper limb hyperhidrosis and anisocoria may imply a possible diagnosis of Pourfour du Petit syndrome.
 
Related Tags
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anisocoria
exophthalmus
facial sweating,unilateral
hyperhidrosis
hyperhidrosis,unilateral
lid retraction
Pourfour du Petit syndrome
progressive hemifacial atrophy
pupil,dilated,unilateral
sympathetic nervous system
trauma
treatment of neurologic disorder

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