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      Efficacy of Paroxetine in Primary Palmoplantar Hyperhidrosis Occurring with Juvenile Myoclonic Epilepsy

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          Abstract

          Primary palmoplantar hyperhidrosis (PPH) is believed to be a dysfunction of emotional sweating, with an estimated prevalence of around 3%. Several treatment options including topical antiperspirants, tap water iontophoresis, botulinum toxin injections, oral anticholinergics, and tricyclic antidepressants are available, each with a significant adverse event profile. For the first time, we report a PPH patient with comorbid juvenile myoclonic epilepsy (JME) treated successfully with a combination of paroxetine and divalproex sodium. Paroxetine resulted in improvement in PPH, possibly through its anticholinergic and/or noradrenergic actions. Though the occurrence of PPH and JME together seems to be a chance association, some common frontal lobe mechanisms may be involved that need to be explored further.

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          Author and article information

          Journal
          DRM
          Dermatology
          10.1159/issn.1018-8665
          Dermatology
          S. Karger AG
          1018-8665
          1421-9832
          2011
          December 2011
          26 August 2011
          : 223
          : 3
          : 193-195
          Affiliations
          aSchool of Psychology, Bangor University, Bangor, UK; bDepartment of Psychiatry, Silchar Medical College and Hospital, Assam, and cDepartment of Psychiatry, Central Institute of Psychiatry, Ranchi, India
          Author notes
          *Mohammad Zia Ul Haq Katshu, School of Psychology, Brigantia Building, Bangor University, Bangor, LL57 2AS (UK), Tel. +44 12 4838 8680, E-Mail drziaulhaq@gmail.com
          Article
          330559 Dermatology 2011;223:193–195
          10.1159/000330559
          21876340
          086a1585-163d-4e3e-acb7-aabec2fb7081
          © 2011 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          : 28 April 2011
          : 21 June 2011
          Page count
          Pages: 3
          Categories
          Case and Review

          Oncology & Radiotherapy,Pathology,Surgery,Dermatology,Pharmacology & Pharmaceutical medicine
          Emotional sweating,Juvenile myoclonic epilepsy,Paroxetine,Thermoregulatory sweating,Primary palmoplantar hyperhidrosis

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