Immunohistochemical differentiation and localization analysis of sweat glands in the adult human axilla.

作者: Gertrude M. Beer , Stephan Baum??ller , Nicolas Zech , Pius Wyss , Doris Strasser

DOI: 10.1097/01.PRS.0000210681.90799.B1

关键词: SWEATAnatomyMedicineSweat glandSubcutaneous tissueAnatomical pathologyPathologyApocrineAxillaDermisImmunohistochemistry

摘要: BACKGROUND: The classic concept of axillary glands differentiates between eccrine glands, producing abundant clear, nonodorous sweat; and apocrine excreting small amounts turbid, odorous milky sweat. A third type sweat the "apoeccrine" were recently identified. To define different types their location number, authors carried out a prospective histologic study on adult human skin, including various immunohistochemical markers. METHODS: Forty-three consecutive Caucasian, subjectively normhidrotic patients, who underwent surgical procedure in axilla unrelated to included study. For verification normhidrosis, gravimetric test was by measuring amount secretion per minute. Then, 1 x 1-cm piece skin subcutaneous tissue excised apex axilla, divided into three samples--altogether, 129 samples--and processed for examination. RESULTS: In dermis, found only very few (average, 0.3 gland/cm 12 percent all patients) 0.1 4.7 patients), no apoeccrine any patient. tissue, mean number centimeter squared 10 nine six glands. CONCLUSIONS: authors' Caucasian subjects, or most near border dermis not dermis. extremely hyperfunctioning recommend less radical methods, with preservation based knowledge that are localized tissue.

参考文章(20)
Debra S. Heller, Meera Hameed, Richard W. Lieberman, Hope K. Haefner, Vulvar hidradenitis suppurativa. Immunohistochemical evaluation of apocrine and eccrine involvement. Journal of Reproductive Medicine. ,vol. 47, pp. 695- 700 ,(2002)
Walter B. Shelley, Harry J. Hurley, The Physiology of the Human Axillary Apocrine Sweat Gland12 Journal of Investigative Dermatology. ,vol. 20, pp. 285- 297 ,(1953) , 10.1038/JID.1953.35
Gorm Bretteville-Jensen, Radical sweat gland ablation for axillary hyperhidrosis British Journal of Plastic Surgery. ,vol. 26, pp. 158- 162 ,(1973) , 10.1016/S0007-1226(73)80010-4
Harry J. Hurley, A Simple Surgical Approach to the Management of Axillary Hyperidrosis JAMA: The Journal of the American Medical Association. ,vol. 186, pp. 109- 112 ,(1963) , 10.1001/JAMA.1963.03710020029006
Yoo Hyun Bang, Jang Ho Kim, Seung Woo Paik, Sang Hyun Park, Ian T. Jackson, Richard Lebeda, Histopathology of apocrine bromhidrosis. Plastic and Reconstructive Surgery. ,vol. 98, pp. 288- 292 ,(1996) , 10.1097/00006534-199608000-00012
K. Sato, W.H. Kang, K. Saga, K.T. Sato, Biology of sweat glands and their disorders. I. Normal sweat gland function Journal of The American Academy of Dermatology. ,vol. 20, pp. 537- 563 ,(1989) , 10.1016/S0190-9622(89)70063-3
Takashi Endo, Yoshio Nakayama, Surgical treatment of axillary osmidrosis. Annals of Plastic Surgery. ,vol. 30, pp. 136- 139 ,(1993) , 10.1097/00000637-199302000-00007