多汗症之航空醫學考量及缺點免計條件之探討

Aeromedical and waiver consideration of focal hyperhidrosis

李岳(Yueh Lee) ； 莊舒雯(Shu-Wen Chuang) ； 陳和逸(He-Yi Chen) ； 劉奕辰(Yi-Chen Liu) ； 劉峰成(Feng-Cheng Liu) ； 簡建文(Chien-Wen Chien)

《中華民國航空醫學暨科學期刊》 29卷1&2期 (2015/12) Pp. 47-54

https://doi.org/10.7011/JAMSROC.201512_29(1_2).0006

摘要

多汗症乃因交感神經反射亢進造成之異常排汗，可分為原發性局部多汗症及次發性全身多汗症，前者較常出現於兒童期並持續一生，多發生於特定部位，後者則常出現於成人，因系統性疾病或藥物造成。由於對多汗症之嚴格篩檢條件，至今尚未有因嚴重多汗症造成之飛安事故，航醫較需考量輕中度多汗症之飛行員可能因疾病造成之皮膚不適或治療之副作用及合併症等等，因此應嚴格執行多汗症之篩檢，並遵照我國軍教範規定進行相關評估，協助飛行員維護其健康，亦替我國之飛航安全嚴加把關。

關鍵字

多汗症 ； 缺點免計 ； 航空醫學考量

並列摘要

Focal hyperhidrosis is caused by sympathetic hyperactivity and can be further divided into primary or secondary form according to its etiology. Primary focal hyperhidrosis usually has an onset during childhood or adolescence and lasts throughout the life of the patient. It can be exacerbated by environmental and emotional factors and usually affects the palms, soles, axillae and occasionally, craniofacial region. In contrast, secondary focal hyperhidrosis is caused by systemic diseases or medications and usually has generalized effects and onset in adulthood. Though there has not been any record of severe mishap resulted from hyperhidrosis in our military history until now, flight surgeons should be aware of the influences of the comorbidities of mild to moderate hyperhidrosis and the complications relating to the treatment of the disease in order to secure flight safety.

並列關鍵字

focal hyperhidrosis ； medical waiver ； aviation medicine