JAMES M.GRICHNIKMD, PhD
A 69-year-old man presented with a 5-year history of drenching sweating localized to the left side of the trunk and right thigh (Figure 1) that was exacerbated only by heat. Sweating, as measured by starch and iodine, was absent elsewhere.
Examination findings included delayed direct and indirect pupillary constriction to light and accommodation on the left eye, and some of the limb reflexes were reduced in a nonrelated distribution. Findings from serologic test ing for syphilis (VDRL slide test) were negative; chest x-ray film findings were normal; and a magnetic resonance image of the spine showed spondylotic changes at cervical vertebrae C3-C6, but no canal stenosis or spinal cord abnormalities were observed.
Lewis VJ, Holt PJA. A Unique Pattern of Hyperhidrosis. Arch Dermatol. 2006;142(2):264. doi:10.1001/archderm.142.2.264