Surprising Resolution of Life-Long Severe Generalized Hyperhidrosis Post-angioplasty and Stenting

TL;DR

A man with lifelong severe generalized hyperhidrosis unexpectedly saw his symptoms resolve after undergoing coronary angioplasty and stenting.

Contribution

This case suggests a potential link between generalized hyperhidrosis and coronary artery disease.

Findings

A 49-year-old male's generalized hyperhidrosis resolved after coronary angioplasty and stenting.

The resolution implies a possible association between hyperhidrosis and cardiovascular conditions.

The case highlights the need for cardiovascular evaluation in patients with generalized hyperhidrosis.

Abstract

Hyperhidrosis (HH) is a condition characterized by excessive sweating beyond thermoregulation needs. HH can be primary with no known etiology or secondary, as a symptom of underlying medical disease or a side effect of certain medications. Furthermore, HH can be focal, affecting one or a few body parts, or generalized, affecting the entire body. We present the case of a 49-year-old male with a history of primary generalized HH as well as coronary artery disease whose HH symptoms surprisingly resolved following coronary angioplasty and stenting. This unprecedented outcome of the procedure points to a potential association between HH and coronary artery disease, proposing potential management of HH through cardiovascular workup. In light of this result, we suggest that patients exhibiting generalized primary HH undergo a thorough comprehensive cardiovascular workup.

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