Jump to content

Night sweats: Difference between revisions

From Wikipedia, the free encyclopedia
Content deleted Content added
mNo edit summary
Infobleep (talk | contribs)
m Added in ankylosing spondylitis, which I know about but also found a reference here https://asaustralia.org/about-as/. I wasn't sure hiw to add the link so didn't.
Tags: Visual edit Mobile edit Mobile web edit
 
(266 intermediate revisions by more than 100 users not shown)
Line 1: Line 1:
{{Short description|Repeated occurrence of excessive sweating during sleep}}
{{SignSymptom infobox |
{{About|the medical condition|the television series|Night Sweats|the musical group|Nathaniel Rateliff}}
Name = Sleep hyperhidrosis |
{{Use dmy dates|date=June 2020}}
ICD10 = R61.9 |
{{Infobox medical condition (new)
ICD9 = {{ICD9|780.8}}, {{ICD9|327}} |
| name =
| synonyms = Sleep sweats, nocturnal hyperhidrosis
| field = [[Infectious disease (medical specialty)|Infectious disease]], [[oncology]]
| symptoms =
| complications =
| onset =
| duration =
| types =
| causes =
| risks =
| diagnosis =
| differential =
| prevention =
| treatment =
| medication =
| prognosis =
| frequency =
| deaths =
}}
}}
'''Night sweats''' or '''nocturnal hyperhidrosis'''<ref>{{Cite web|title=Hyperhidrosis - MeSH - NCBI|url=https://www.ncbi.nlm.nih.gov/mesh/68006945|access-date=2020-10-29|website=www.ncbi.nlm.nih.gov}}</ref> is the repeated occurrence of [[hyperhidrosis|excessive sweating]] during [[sleep]].<ref name=":0">{{Cite web|title=Night sweats - Mayo Clinic|url=https://www.mayoclinic.org/symptoms/night-sweats/basics/definition/SYM-20050768?p=1|access-date=2020-10-29|website=www.mayoclinic.org}}</ref> The person may or may not also [[perspiration|perspire]] excessively while awake.
'''Sleep hyperhidrosis''', more commonly known as the '''night sweats''', is the occurrence of excessive sweating ([[hyperhidrosis]]) during [[sleep]]. The sufferer may or may not also suffer from excessive perspiration whilst awake.


One of the most common causes of night sweats in women over 40 is the hormonal changes related to [[menopause]] and [[perimenopause]].<ref>{{cite book|author1=T. F. Kruger|author2=M. H. Botha|title=Clinical Gynaecology|url=https://books.google.com/books?id=mEsPakNJWZYC&pg=PA333|year=2008|publisher=Juta and Company Ltd|isbn=978-0-7021-7305-9|page=333}}</ref> This is a very common occurrence during the menopausal transition years. Over 80% of women experience [[hot flash]]es, which may include excessive sweating, during menopause.<ref>{{Cite journal|last1=Bansal|first1=Ramandeep|last2=Aggarwal|first2=Neelam|date=January–March 2019|title=Menopausal Hot Flashes: A Concise Review|journal=Journal of Mid-Life Health|volume=10|issue=1|pages=6–13|doi=10.4103/jmh.JMH_7_19|issn=0976-7800|pmc=6459071|pmid=31001050 |doi-access=free }}</ref>
Night sweats may occur for [[genetics|genetic]] reasons and may be relatively harmless. However, they can be distressing and disrupt sleep patterns if severe; the patient may be frequently awakened due to the discomfort of damp sleepwear.


Night sweats range from being relatively harmless to a sign of underlying [[disease]]. Night sweats may happen because the sleep environment is too warm, either because the bedroom is unusually hot or because there are too many covers on the bed.<ref name=":0" /> Night sweats have been associated with a long list of clinical conditions.<ref name=":1">{{Cite journal|last1=Mold|first1=James W.|last2=Holtzclaw|first2=Barbara J.|last3=McCarthy|first3=Laine|date=November–December 2012|title=Night sweats: a systematic review of the literature|journal=Journal of the American Board of Family Medicine |volume=25|issue=6|pages=878–893|doi=10.3122/jabfm.2012.06.120033|issn=1558-7118|pmid=23136329|s2cid=24179827|doi-access=free}}</ref> However, there is very little evidence that supports clinical recommendations for this condition.<ref name=":1" />
One of the most common causes of night sweats in women over 40 is the hormonal changes related to [[menopause]] and [[perimenopause]]. This is a normal part of menopause and while annoying, it is not necessarily dangerous or a sign of underlying disease. Some women experience night sweats during [[pregnancy]] due to hormonal changes.

Sleep hyperhidrosis may occur at any age, but is most commonly seen in early [[adult]]hood.


==Associated conditions==
==Associated conditions==
The condition may be considered a [[sign (medicine)|sign]] of various [[disease]] states, including:
The condition may be a [[sign (medicine)|sign]] of various [[disease]] states, including but not exclusive to the following:


* [[Brucellosis]]
*'''[[Cancer]]s'''
**[[Lymphoma]]<ref name="Am Fam Physician">{{cite journal|last=Viera|first=Anthony J.|author2=Bond, Michael M. |author3=Yates, Scott W. |title=Diagnosing Night Sweats|journal=American Family Physician|date=1 March 2003|volume=67|issue=5|pages=1019–1024|pmid=12643362|url=http://www.aafp.org/afp/2003/0301/p1019.html|access-date=13 June 2012}}</ref><ref name="TeitelbaumDeAntonis2004" />
* [[Cancer]]
**[[Leukemia]]<ref name="Am Fam Physician" /><ref name="TeitelbaumDeAntonis2004">{{cite book|author1=Jonathan E. Teitelbaum|author2=Kathleen O. DeAntonis|author3=Scott Kahan|title=In a page: Pediatric signs & symptoms|url=https://books.google.com/books?id=eugGYG5sfN0C&pg=PA6|year=2004|publisher=Lippincott Williams & Wilkins|isbn=978-1-4051-0427-2|page=6}}</ref>
* [[Cerebral palsy]]
**[[Renal cell carcinoma]]<ref>{{cite web |title= Renal Cell Carcinoma |website= Medscape Reference |publisher= WebMD |date= 26 February 2014 |access-date= 7 March 2014 |url= http://emedicine.medscape.com/article/281340-overview#showall |last1= Curti |first1= B |last2= Jana |first2= BRP |last3= Javeed |first3= M |last4= Makhoul |first4= I |last5= Sachdeva |first5= K |last6= Hu |first6= W |last7= Perry |first7= M |last8= Talavera |first8= F |editor= Harris, JE |url-status= live |archive-url= https://web.archive.org/web/20140307024450/http://emedicine.medscape.com/article/281340-overview#showall |archive-date= 7 March 2014}}</ref>
* [[Telencephalon|Cerebral]] and [[brain stem]] [[stroke]]s
*'''[[Infection]]s'''
* [[Chronic pneumonia]]
**[[HIV/AIDS]]<ref name="Am Fam Physician" /><ref name="LeBhushan2006">{{cite book|author1=Tao Le|author2=Vikas Bhushan|title=First Aid for the USMLE Step 2 CS|url=https://books.google.com/books?id=xvrM1qV9BiMC&pg=PA74|year=2006|publisher=McGraw-Hill Professional|isbn=978-0-07-147058-2|page=74}}</ref>
* [[Epilepsy]]
**[[Tuberculosis]]<ref name="Am Fam Physician" /><ref name="TeitelbaumDeAntonis2004"/>
* [[Familial dysautonomia]]
**[[Mycobacterium avium-intracellulare infection]]<ref name="Am Fam Physician" />
* [[Head injury]]
**[[Infectious mononucleosis]]<ref name="Am Fam Physician" />
* [[HIV]]
**[[Mycosis|Fungal infections]] ([[histoplasmosis]], [[coccidioidomycosis]])<ref name="Am Fam Physician" />
* [[Lymphoma]], both [[Hodgkin's lymphoma|Hodgkin's]] and [[Non-Hodgkin's lymphoma|non-Hodgkin's]]
**[[Lung abscess]]<ref name="Am Fam Physician" />
* [[Hypothalamus|Hypothalamic]] lesions
**[[Infective endocarditis]]<ref name="Am Fam Physician" />
* [[Leukaemia]]
**[[Brucellosis]]<ref name="MayoClinicNightSweatsCauses">{{cite web | title = Night sweats : Causes | url = http://www.mayoclinic.com/health/night-sweats/MY00576/DSECTION=causes | publisher = Mayo Clinic | date = 22 March 2011 | access-date = 10 May 2012}}</ref>
* [[Menopause]]
**[[Pneumocystis pneumonia]] (most often – in immunocompromised individuals)
* [[Obstructive Sleep Apnea]]
**[[SARS-CoV-2 Omicron variant|Omicron variant]] of [[COVID-19]]<ref>{{Cite web|last=Khan|first=Dr Amir|date=2021-12-20|title=Omicron is more transmissible, but is it really milder?|url=https://www.aljazeera.com/features/2021/12/20/omicron-is-more-transmissible-but-is-it-really-milder|access-date=2022-01-07|website=Aljazeera|language=en}}</ref><ref>{{Cite web| url=https://www.newstalk.com/news/luke-oneill-one-extra-symptom-now-a-sign-of-ba-5-covid-variant-1361461 |website=[[Newstalk]] |first=Jack |last=Quann |title=Luke O'Neill: Night sweats now a sign of BA.5 COVID variant |date=7 July 2022 |access-date=10 July 2022}}</ref>
* [[Pulmonary histoplasmosis]]
*'''[[Endocrine disorder]]s'''
* [[Subacute endocarditis]]
**[[Premature ovarian failure]]<ref name="Am Fam Physician" />
* [[Tuberculosis]]
**[[Hyperthyroidism]]<ref name="Am Fam Physician" />

**[[Diabetes mellitus]] ([[nocturnal hypoglycemia]])<ref name="Am Fam Physician" />
Certain medications, including anti-depressants (such as [[sertraline]]) have also been known to cause night sweats in some individuals. Another cause could be withdrawal from various drugs ([[mdma]], [[opiates]], [[benzodiazepines]], etc.){{fact}}.
**[[Endocrine tumor]]s ([[pheochromocytoma]], [[carcinoid]])<ref name="Am Fam Physician" />
**[[Orchiectomy]]<ref name="Am Fam Physician" />
*'''[[Rheumatic disorder]]s'''
**[[Takayasu's arteritis]]<ref name="Am Fam Physician" />
**[[Temporal arteritis]]<ref name="Am Fam Physician" />
**[[Ankylosing spondylitis]]
*'''Other'''
**[[Obstructive sleep apnea]]<ref name="Am Fam Physician" />
**[[Gastroesophageal reflux disease]]<ref name="Am Fam Physician" />
**[[Chronic fatigue syndrome]]<ref name="Am Fam Physician" />
**[[Fibromyalgia]]
**[[Granulomatous disease]]<ref name="Am Fam Physician" />
**Chronic [[eosinophilic pneumonia]]<ref name="Am Fam Physician" />
**[[Lymphoid hyperplasia]]<ref name="Am Fam Physician" />
**[[Diabetes insipidus]]<ref name="Am Fam Physician" />
**[[Prinzmetal's angina]]<ref name="Am Fam Physician" />
**[[Anxiety]]<ref name="Am Fam Physician" />
**[[Pregnancy]]<ref name="Am Fam Physician" />
**[[Menopause]]<ref>{{cite journal |last=Deecher |first=D. C. |author2=K. Dorries |year=2007 |title=Understanding the pathophysiology of vasomotor symptoms (hot flushes and night sweats) that occur in perimenopause, menopause, and postmenopause life stages |journal=Archives of Women's Mental Health |volume=10 |issue=6 |pages=247–257 |doi=10.1007/s00737-007-0209-5 |pmid=18074100 |s2cid=21865706}}</ref>
*'''[[Drug]]s'''
**[[Antipyretic]]s ([[salicylate]]s, [[acetaminophen]])<ref name="Am Fam Physician" />
**[[Antihypertensive]]s<ref name="Am Fam Physician" />
**[[Anabolic steroid|Anabolic–androgenic steroid]]s, in particular [[trenbolone]], and the [[nandrolone]]s<ref name="Am Fam Physician"/>
**[[Dinitrophenol]] – a common side effect
**[[Phenothiazine]]s<ref name="Am Fam Physician" />
**Drug withdrawal: [[ethanol]], [[benzodiazepines]], [[cannabis]], [[heroin]] (and other [[opioid]]s),
*Over-[[Blanket|bundling]]<ref name="Am Fam Physician" />
*[[autonomic nervous system|Autonomic]] over-activity<ref name="Am Fam Physician" />
*[[Inflammatory bowel disease]] (IBD) – [[Crohn's disease]]/[[ulcerative colitis]]


==References==
==References==
{{Unreferenced}}
{{reflist}}

== External links ==
{{Medical resources
| ICD10 = {{ICD10|R|61||r|50}}
| ICD9 = {{ICD9|780.8}}, {{ICD9|327}}
}}

{{General symptoms and signs}}

[[Category:Sleep disorders]]
[[Category:Medical signs]]
[[Category:Medical signs]]
[[Category:Menopause]]

Latest revision as of 13:03, 1 November 2024

Night sweats
Other namesSleep sweats, nocturnal hyperhidrosis
SpecialtyInfectious disease, oncology

Night sweats or nocturnal hyperhidrosis[1] is the repeated occurrence of excessive sweating during sleep.[2] The person may or may not also perspire excessively while awake.

One of the most common causes of night sweats in women over 40 is the hormonal changes related to menopause and perimenopause.[3] This is a very common occurrence during the menopausal transition years. Over 80% of women experience hot flashes, which may include excessive sweating, during menopause.[4]

Night sweats range from being relatively harmless to a sign of underlying disease. Night sweats may happen because the sleep environment is too warm, either because the bedroom is unusually hot or because there are too many covers on the bed.[2] Night sweats have been associated with a long list of clinical conditions.[5] However, there is very little evidence that supports clinical recommendations for this condition.[5]

Associated conditions

[edit]

The condition may be a sign of various disease states, including but not exclusive to the following:

References

[edit]
  1. ^ "Hyperhidrosis - MeSH - NCBI". www.ncbi.nlm.nih.gov. Retrieved 29 October 2020.
  2. ^ a b "Night sweats - Mayo Clinic". www.mayoclinic.org. Retrieved 29 October 2020.
  3. ^ T. F. Kruger; M. H. Botha (2008). Clinical Gynaecology. Juta and Company Ltd. p. 333. ISBN 978-0-7021-7305-9.
  4. ^ Bansal, Ramandeep; Aggarwal, Neelam (January–March 2019). "Menopausal Hot Flashes: A Concise Review". Journal of Mid-Life Health. 10 (1): 6–13. doi:10.4103/jmh.JMH_7_19. ISSN 0976-7800. PMC 6459071. PMID 31001050.
  5. ^ a b Mold, James W.; Holtzclaw, Barbara J.; McCarthy, Laine (November–December 2012). "Night sweats: a systematic review of the literature". Journal of the American Board of Family Medicine. 25 (6): 878–893. doi:10.3122/jabfm.2012.06.120033. ISSN 1558-7118. PMID 23136329. S2CID 24179827.
  6. ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae af Viera, Anthony J.; Bond, Michael M.; Yates, Scott W. (1 March 2003). "Diagnosing Night Sweats". American Family Physician. 67 (5): 1019–1024. PMID 12643362. Retrieved 13 June 2012.
  7. ^ a b c Jonathan E. Teitelbaum; Kathleen O. DeAntonis; Scott Kahan (2004). In a page: Pediatric signs & symptoms. Lippincott Williams & Wilkins. p. 6. ISBN 978-1-4051-0427-2.
  8. ^ Curti, B; Jana, BRP; Javeed, M; Makhoul, I; Sachdeva, K; Hu, W; Perry, M; Talavera, F (26 February 2014). Harris, JE (ed.). "Renal Cell Carcinoma". Medscape Reference. WebMD. Archived from the original on 7 March 2014. Retrieved 7 March 2014.
  9. ^ Tao Le; Vikas Bhushan (2006). First Aid for the USMLE Step 2 CS. McGraw-Hill Professional. p. 74. ISBN 978-0-07-147058-2.
  10. ^ "Night sweats : Causes". Mayo Clinic. 22 March 2011. Retrieved 10 May 2012.
  11. ^ Khan, Dr Amir (20 December 2021). "Omicron is more transmissible, but is it really milder?". Aljazeera. Retrieved 7 January 2022.
  12. ^ Quann, Jack (7 July 2022). "Luke O'Neill: Night sweats now a sign of BA.5 COVID variant". Newstalk. Retrieved 10 July 2022.
  13. ^ Deecher, D. C.; K. Dorries (2007). "Understanding the pathophysiology of vasomotor symptoms (hot flushes and night sweats) that occur in perimenopause, menopause, and postmenopause life stages". Archives of Women's Mental Health. 10 (6): 247–257. doi:10.1007/s00737-007-0209-5. PMID 18074100. S2CID 21865706.
[edit]