Sweating impairment in patients with multiple sclerosis

Acta Neurol Scand. 2009 Nov;120(5):358-63. doi: 10.1111/j.1600-0404.2009.01164.x. Epub 2009 May 19.

Abstract

Objectives: To measure sweating in patients with multiple sclerosis (MS).

Materials and methods: Sweating was measured by an evaporimeter after a heating stimulus in 29 MS patients and in 15 healthy control subjects.

Results: The MS patients sweated markedly less than the controls. After 10 min of heating the sweating was significantly lower in the forehead (P = 0.034), feet (right, P = 0.033; left, P = 0.037) and legs (right, P = 0.043; left, P = 0.029) of the MS patients than in those of the controls. After 15 min of heating the difference was statistically significant only in the feet (right, P = 0.043; left, P = 0.029). The Expanded Disability Status Scale score correlated inversely with sweating at 15 min of heating in the left hand (r = 0.42, P < 0.05), and in the left (r = 0.36, P < 0.05) and right foot (r = 0.37, P < 0.05).

Conclusions: MS is associated with an impairment in thermoregulatory sweating which seems to be related to the disease severity.

MeSH terms

  • Adult
  • Age Factors
  • Autonomic Nervous System Diseases / physiopathology
  • Brain / pathology
  • Demyelinating Diseases / pathology
  • Female
  • Hot Temperature
  • Humans
  • Hypohidrosis / etiology*
  • Hypohidrosis / pathology
  • Hypohidrosis / physiopathology
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / pathology
  • Multiple Sclerosis / physiopathology
  • Severity of Illness Index
  • Sex Factors
  • Spinal Cord / pathology