Case-control study2016

Autonomic thermoregulatory dysfunction in neurofibromatosis type 1

Madeira LG, Passos RL, Souza JF, Rezende NA, Rodrigues LO

Arquivos de neuro-psiquiatria · 3 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Case-control study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2016-10-01 · Arq Neuropsiquiatr · vol. 74 · issue 10 · pp. 796–802
Publisher
Thieme Medical Publishers (Germany)
Cited
7 citations · more than 60% of similar papers · 0.2× the field average
References
30 works
Access
Open access (journal) · CC-BY
Research areas
Sympathectomy and Hyperhidrosis Treatments · Neurofibromatosis and Schwannoma Cases · Urinary Bladder and Prostate Research
Keywords
Neurofibromatosis, Medicine, Psychology, Pathology
MeSH
sweat, skin, humans, neurofibromatosis 1, analysis of variance, case-control studies, age factors, sex factors, body temperature regulation, sweating, time factors, reference values, adolescent, adult, middle aged, female, male, primary dysautonomias, young adult

5 authors

From BR

  • Luciana Gonçalves MadeiraUniversidade Federal de Minas Gerais
  • Renata L. Freitas PassosUniversidade Federal de Minas Gerais
  • Juliana Ferreira de SouzaUniversidade Federal de Minas Gerais; Hospital das Clínicas da Universidade Federal de Minas Gerais
  • Nilton Alves de RezendeUniversidade Federal de Minas Gerais; Hospital das Clínicas da Universidade Federal de Minas Gerais
  • Luiz Oswaldo Carneiro RodriguesUniversidade Federal de Minas Gerais; Hospital das Clínicas da Universidade Federal de Minas Gerais

Abstract

Objective

Neurofibromatosis type 1 (NF1) causes neural and cutaneous disorders and reduced exercise capacity. Exercise/heat exposure increasing internal temperature must be compensated by eccrine sweat function and warmed skin vasodilation. We suspected NF1 could adversely affect eccrine sweat function and/or vascular thermoregulatory responses (VTR).

Methods

The eccrine sweat function and VTR of 25 NF1 volunteers (14 males, 11 females; 16-57 years old) were compared with 23 non-NF1 controls matched by sex, age, height and weight (CG). Sweating was induced by 1) pilocarpine 1% iontophoresis (PILO); and 2) by passive heating (HEAT) via the lower third of the legs being immersed in 42°C water for one hour. Previously established eccrine sweat function and VTR protocols were used.

Results

The NF1 group showed: a) lower sweat rate than the CG group during PILO; b) a smaller diastolic pressure decrease; and c) higher tympanic temperatures than controls during HEAT (p < 0.05).

Conclusion

Reduced sweating and vascular thermoregulatory responses suggest autonomic dysfunction in NF1 individuals.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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