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Eur J Cardiothorac Surg 2004;26:456-458
© 2004 Elsevier Science NL

Case report

Unilateral hyperhydrosis in Pourfour du Petit syndrome

^a Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100, Kirikkale, Turkey
^b Department of Ophthalmology, University of Kirikkale, School of Medicine, 71100, Kirikkale, Turkey
^c Department of Dermatology, University of Kirikkale, School of Medicine, 71100, Kirikkale, Turkey

Received 6 February 2004; received in revised form 7 April 2004; accepted 9 April 2004.

^* Corresponding author. Address: Guvenlik caddesi, Esenlik sokak 7/10, TR-06540, Asagiayranci, Ankara, Turkey. Tel.: +90-312-467-0054; fax: +90-318-225-2819
e-mail: muratkara66{at}hotmail.com

Upper limp hyperhydrosis is an idiopathic disease with bilateral involvement. However, Pourfour du Petit syndrome, the opposite of Horner syndrome, may result in unilateral upper limb hyperhydrosis. It occurs following hyperactivity of the sympathetic cervical chain as a consequence of irritation secondary to trauma. We report herein two cases with Pourfour du Petit syndrome showing unilateral upper limb hyperhydrosis. The patients presented with right-sided mydriasis and ipsilateral hemifacial hyperhydrosis. The onset of disease was followed by a trauma in both patients. They underwent upper thoracic sympathectomy with favorable outcome. A history of an antecedent trauma in patients with unilateral upper limb hyperhydrosis and anisocoria may imply a possible diagnosis of Pourfour du Petit syndrome.

Key Words: Pourfour du Petit syndrome • Upper limb hyperhydrosis • Sympathectomy

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