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Residual Limb Hyperhidrosis Managed by Botulinum Toxin Injections, Enhanced by the Iodine-Starch Test : A Case Report

HANSEN CR; GODFREY B
PM & R , 2017, vol. 9, n° 4, p. 415-418
Doc n°: 182727
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2016.10.009
Descripteurs : EB312 - MEMBRE RESIDUEL - AMPUTATION TRANSFEMORALE

Hyperhidrosis of the residual limb is a common condition affecting patients with
amputations. The iodine-starch test is used by dermatologists to identify focal
areas of hyperhidrosis before treatment with botulinum toxin. Here, we describe a
case of a patient with a transtibial amputation with moderate-to-severe
hyperhidrosis who received intradermal botulinum toxin injections to treat
residual limb hyperhidrosis, with particular emphasis given to the utility of the
iodine-starch test in managing this common condition.
The iodine-starch test
successfully identified hyperhidrotic areas before treatment as well as confirmed
the physiologic anhidrotic effect of the botulinum toxin treatment. LEVEL OF
EVIDENCE: V.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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