Hiperhidrosis axilar primaria
DOI:
https://doi.org/10.29176/2590843X.303Palabras clave:
hiperhidrosis axilar, tratamiento, termoterapiaResumen
Introducción. La hiperhidrosis axilar primaria representa un motivo de consulta muy frecuente en la práctica dermatológica. Las alternativas de tratamiento no quirúrgico son de alto costo y, los resultados, de corta duración. Dados el impacto y la cronicidad de esta condición, los pacientes solicitan tratamientos no invasivos y duraderos para el manejo de la hiperhidrosis. Nos enfrentamos a mucha publicidad en cuanto a nuevas opciones terapéuticas, tales como láser, radiofrecuencia y microondas. Esta revisión pretende contribuir a responder la pregunta: ¿es posible ofrecer a los pacientes tratamientos como láser, radiofrecuencia y microondas para la hiperhidrosis axilar primaria?
Metodología. Se hizo una revisión sistemática de la literatura científica utilizando las bases de datos Pubmed, Cochrane y Lilacs, teniendo como población diana a los pacientes mayores de 18 años con diagnóstico de hiperhidrosis axilar primaria.
Resultados. Se encontraron 162 artículos y, a partir de ellos, se elaboró la siguiente revisión de tema.
Conclusiones. La termoterapia (láser, microondas, radiofrecuencia pixelada) se ha utilizado en los últimos años con resultados muy variables y, aunque es claro su efecto en cuanto a la destrucción de las glándulas, aún no se dispone de suficiente información de la duración del efecto, la temporalidad de las sesiones, y la necesidad y frecuencia de mantenerlas. Se necesita hacer más estudios en nuestra población.
Biografía del autor/a
Evelyne Halpert
Médica dermatóloga, especialista en Dermatología Infantil y en Epidemiología Clínica; jefe, Sección de Dermatología Pediátrica, Fundación Santa Fe de Bogotá, Bogotá, D.C., Colombia
Clara Inés Ortiz
Médica dermatóloga, Fundación Santa Fe de Bogotá, Bogotá, D.C., Colombia
Daniela Chaparro
Médica, especialista en Epidemiología Clínica; asistente de investigación, Asociación Médica de los Andes, Bogotá, D.C., Colombia
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