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Residual Limb Hyperhidrosis Managed by Botulinum Toxin Injections, Enhanced by the Iodine‐Starch Test: A Case Report
Author(s) -
Hansen Colby R.,
Godfrey Bradeigh
Publication year - 2017
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2016.10.009
Subject(s) - hyperhidrosis , medicine , botulinum toxin , dermatology , amputation , dose , anesthesia , surgery
Hyperhidrosis of the residual limb is a common condition affecting patients with amputations. The iodine‐starch test is used by dermatologists to identify focal areas of hyperhidrosis before treatment with botulinum toxin. Here, we describe a case of a patient with a transtibial amputation with moderate‐to‐severe hyperhidrosis who received intradermal botulinum toxin injections to treat residual limb hyperhidrosis, with particular emphasis given to the utility of the iodine‐starch test in managing this common condition. The iodine‐starch test successfully identified hyperhidrotic areas before treatment as well as confirmed the physiologic anhidrotic effect of the botulinum toxin treatment. Level of Evidence V