Doctor insights on:
Single Palmar Crease
45% do: The single palmar crease, 4 finger line, or simian crease (several names for the same feature) is thought to represent the effect of a lower level of muscle tone during the pregnancy. It is found in 45% +/- of ds infants depending on the study cited. It is found on one side in 4% of normal infants and on both sides in 1%. ...Read moreSee 1 more doctor answer
How rare is it to have a simian crease (a single palmar crease) on both palms without having down syndrome?
Fairly common: A single sided simian crease is found in about 10% of the population, whereas having it on both palms is found in about 5%. When a condition is seen in this many people, it is considered somewhat common. Many more people who have a simian crease have normal chromosomes than have down syndrome. ...Read more
It's not specific: A single transverse palmar crease is associated with many medical conditions, most notably Down's Syndrome. However, it is estimated that 10% of people have one hand with a single crease. I do not know how or why this presentation is associated with certain medical conditions. ...Read more
Does craniosynostosis and palmar crease occurring together indicate a genetic abnormality or another condition all together?
Options: Surgery can be quite successful for appropriate candidates. While done often by experienced thoracic surgeons (vats), it is chest surgery (major surgery). There are risks and benefits. Appropriate candidates should be selected. This link to consensus: http://goo. Gl/voqx5. ...Read moreSee 1 more doctor answer
Excessive sweating: If you have excessive sweating in your palms you can try a prescription antiperspirant called Drysol. Apply once a day. If you are having other symptoms with this such as weight loss, diffuse sweating, elevated heart rate consider a thyroid or other endocrine issue and see your doctor ...Read more
Over-active sweating: Hyperhidrosis refers to excessive sweating, typically of the palms, soles of feet, and/or underarms, that occurs when the person is not hot. People who have it avoid shaking hands because they are embarressed by their constantly sweaty palms. Multiple treatments are available. You should go to sweathelp. Org for more information. ...Read more
AGE 49: There is no "best" age. With your concern you should make an appointment to see your Primary doctor. He/she will help you decide what needs to be done. Hope all goes well - please keep me posted! ...Read more
Options: Best care starts first in family physician's office. Surgery can be quite successful for appropriate candidates. While done often by experienced thoracic surgeons (vats), it is chest surgery (major surgery). There are risks and benefits. Appropriate candidates should be selected. This link to consensus: http://goo. Gl/voqx5. ...Read more
Several: Best care starts with evaluation by primary care physician. They will possibly refer you to a dermatologist. Topical agents such as drysol may help. Botox injections may help. Iontophoresis (mild electrical shock treatment) may help. This site may help: http://goo. Gl/ubyjq. ...Read moreSee 1 more doctor answer
Hyperhidrosis hands: Palmoplantar hyperhidrosis is not contagious. It can be treated with topicals, sometimes oral anticholinergic agents, Botox injection, or micro ETS. Seek a specialist like myself who treats a large number of hyperhidrosis patients and who offers all of these treatment options. ...Read more
What is the best thing for palmar hyperhidrosis? I would prefer something not requiring a prescription. I've tried odaban and nothing!
Hyperhidrosis: There are prescription and nonprescription antiperpirants. I write for topical compounded Glycopyrrolate 3% which is very effective and is used at night. There are oral medications like Robinul (glycopyrrolate) which has a lot of side effects. I would have your doctor write you for compounded Glycopyrrolate 3%. ...Read moreSee 1 more doctor answer
I'm considering botox for my palmar hyperhidrosis, is there any long term complications I need to be aware of?
How often should I use a iontophotesis system for palmar hyperhidrosis starting out for what I consider severe?
Iontophoresis: In the early stages of treatment, the affected parts of the body should be treated once a day for about 10-15 minutes. normally, 5-20 consecutive days of treatment sessions are sufficient to reduce the moisture content of the skin to a normal level. after this initial treatment, the frequency of the sessions can usually be reduced to once or twice a week. ...Read moreSee 1 more doctor answer