Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child
Primary palmar hyperhidrosis (PPH) is a somatic condition characterized by excessive sweating of the hands. It mainly affects adolescents and young adults and is rarely observed among children. This condition significantly impairs patients' academic performance, daily activities, and social int...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1542064/full |
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| author | Zhen Luo Zhen Luo Yu Li Yu Li Guangxu Zhou Guangxu Zhou Kaiyi Mao Kaiyi Mao Hongyang Tan Hongyang Tan Peng Zhao Peng Zhao Yingbo Li Yingbo Li Xianhui Shang Xianhui Shang Hong Ma Hong Ma Cao Wang Cao Wang |
| author_facet | Zhen Luo Zhen Luo Yu Li Yu Li Guangxu Zhou Guangxu Zhou Kaiyi Mao Kaiyi Mao Hongyang Tan Hongyang Tan Peng Zhao Peng Zhao Yingbo Li Yingbo Li Xianhui Shang Xianhui Shang Hong Ma Hong Ma Cao Wang Cao Wang |
| author_sort | Zhen Luo |
| collection | DOAJ |
| description | Primary palmar hyperhidrosis (PPH) is a somatic condition characterized by excessive sweating of the hands. It mainly affects adolescents and young adults and is rarely observed among children. This condition significantly impairs patients' academic performance, daily activities, and social interactions and can even lead to insurmountable psychological burdens. Surgical intervention for PPH is typically reserved for individuals aged 16 years and older, as compensatory hyperhidrosis occurs at a high rate (65%) postoperatively among children younger than 14 years. Therefore, the decision for surgery is controversial and has been rarely documented in the literature. Here, we report a 9-year-old child with a 3-year history of bilateral palmar hyperhidrosis. Conservative treatment with medications for 6 months led to no improvement. The patient had signs of low self-esteem, social withdrawal, and aversion to school, alongside recurrent skin damage at the fingertips. Both the child and parents expressed a strong desire for effective treatment. Single-port endoscopic thoracic sympathectomy (ETS) was conducted after comprehensive risk disclosure and obtaining informed consent from the parents, achieving remarkable therapeutic outcomes. At the 12-month follow-up, the patient exhibited no recurrence of symptoms, no compensatory hyperhidrosis, and no complications, such as Horner's syndrome. Both hands remained warm and dry, the lesions of fingertip skin healed, and the patient's personality became noticeably more positive. Furthermore, the surgical incision was aesthetically pleasing. |
| format | Article |
| id | doaj-art-31cfb5ae7b7f43b8a782d5473757fbe4 |
| institution | DOAJ |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-31cfb5ae7b7f43b8a782d5473757fbe42025-08-20T03:06:58ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-04-011210.3389/fmed.2025.15420641542064Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old childZhen Luo0Zhen Luo1Yu Li2Yu Li3Guangxu Zhou4Guangxu Zhou5Kaiyi Mao6Kaiyi Mao7Hongyang Tan8Hongyang Tan9Peng Zhao10Peng Zhao11Yingbo Li12Yingbo Li13Xianhui Shang14Xianhui Shang15Hong Ma16Hong Ma17Cao Wang18Cao Wang19Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaDepartment of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, ChinaGuizhou Children's Hospital, Zunyi, Guizhou, ChinaPrimary palmar hyperhidrosis (PPH) is a somatic condition characterized by excessive sweating of the hands. It mainly affects adolescents and young adults and is rarely observed among children. This condition significantly impairs patients' academic performance, daily activities, and social interactions and can even lead to insurmountable psychological burdens. Surgical intervention for PPH is typically reserved for individuals aged 16 years and older, as compensatory hyperhidrosis occurs at a high rate (65%) postoperatively among children younger than 14 years. Therefore, the decision for surgery is controversial and has been rarely documented in the literature. Here, we report a 9-year-old child with a 3-year history of bilateral palmar hyperhidrosis. Conservative treatment with medications for 6 months led to no improvement. The patient had signs of low self-esteem, social withdrawal, and aversion to school, alongside recurrent skin damage at the fingertips. Both the child and parents expressed a strong desire for effective treatment. Single-port endoscopic thoracic sympathectomy (ETS) was conducted after comprehensive risk disclosure and obtaining informed consent from the parents, achieving remarkable therapeutic outcomes. At the 12-month follow-up, the patient exhibited no recurrence of symptoms, no compensatory hyperhidrosis, and no complications, such as Horner's syndrome. Both hands remained warm and dry, the lesions of fingertip skin healed, and the patient's personality became noticeably more positive. Furthermore, the surgical incision was aesthetically pleasing.https://www.frontiersin.org/articles/10.3389/fmed.2025.1542064/fullprimary palmar hyperhidrosis (PPH)endoscopic thoracic sympathectomy (ETS)childcase reportsingle-port |
| spellingShingle | Zhen Luo Zhen Luo Yu Li Yu Li Guangxu Zhou Guangxu Zhou Kaiyi Mao Kaiyi Mao Hongyang Tan Hongyang Tan Peng Zhao Peng Zhao Yingbo Li Yingbo Li Xianhui Shang Xianhui Shang Hong Ma Hong Ma Cao Wang Cao Wang Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child Frontiers in Medicine primary palmar hyperhidrosis (PPH) endoscopic thoracic sympathectomy (ETS) child case report single-port |
| title | Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child |
| title_full | Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child |
| title_fullStr | Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child |
| title_full_unstemmed | Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child |
| title_short | Case Report: Single-port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9-year-old child |
| title_sort | case report single port thoracoscopic surgery for severe primary palmar hyperhidrosis in a 9 year old child |
| topic | primary palmar hyperhidrosis (PPH) endoscopic thoracic sympathectomy (ETS) child case report single-port |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1542064/full |
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