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To the Editor:—
In the article on "Failure of the Sweat Mechanism in the Desert" (The Journal February 19) by Wolkin, Goodman and Kelley a new syndrome is presented and an attempt is made to "demonstrate that the presence or absence of normal sweating function is the determining factor in the production of the syndrome."In the article no mention is made of the cortical influence on general body sweating. It is a physiologic fact that during mental stress on a very hot day there is a suppression of general body sweating. (Kuno, Yas: The Physiology of Human Perspiration). The anxiety state, which is a stimulus for palmar sweating, may during extreme elevations of temperature inhibit both palmar and general body sweating. This paradoxical inhibition of sweating also occurs in severe heat strokes. It seems unreasonable to believe that this inhibition seen in heat stroke is caused by paralysis of
Silverman JJ, Powell VE. FAILURE OF THE SWEAT MECHANISM IN THE DESERT. JAMA. 1944;124(16):1152. doi:10.1001/jama.1944.02850160058025