Neurophysiologie clinique = Clinical neurophysiology · 2025
Characterizing sweating problems in multiple sclerosis: insights from QSART, SUDOSCAN, and COMPASS-31: Sweating Problems in Multiple Sclerosis.
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Jerčinović Katy, Tešija Katarina, Sredanović Mašan, Adamec Ivan, Gabelić Tereza, Barun Barbara, Krbot Skorić Magdalena, Habek Mario
Аннотация
OBJECTIVE: To characterize sweating issues in people with multiple sclerosis (pwMS) using the Quantitative Sudomotor Axon Reflex Test (QSART) and SUDOSCAN.
METHODS: In 75 pwMS, sweating symptoms were evaluated using the Composite Autonomic Symptom Score (COMPASS-31). Sweating function was assessed with QSART and SUDOSCAN.
RESULTS: Symptomatic sweating problems were observed in 22 (29.3 %) pwMS. Pathological results of the QSART (sudomotor index (SI) >0) were identified in 13 (17.3 %) pwMS, while SUDOSCAN results showed pathology in 8 (10.7 %) pwMS. We found a positive correlation between the QSART volume of the foot and the SUDOSCAN electrochemical skin conductance (ESC) results for the corresponding leg (r = 0.282, p = 0.015). pwMS with cervical spinal cord lesions had higher ESC values for the hand mean, left, and right (69.88±12.84 vs 76.15±9.29, p = 0.022; 69.88±12.82 vs 76.22±9.36, p = 0.021; and 70.33±13.00 vs 76.52±9.27, p = 0.024; respectively).
CONCLUSIONS: People with MS frequently experience sweating problems. Using various methods to identify sweating issues in pwMS reveals differences in the causes of these problems in pwMS.
METHODS: In 75 pwMS, sweating symptoms were evaluated using the Composite Autonomic Symptom Score (COMPASS-31). Sweating function was assessed with QSART and SUDOSCAN.
RESULTS: Symptomatic sweating problems were observed in 22 (29.3 %) pwMS. Pathological results of the QSART (sudomotor index (SI) >0) were identified in 13 (17.3 %) pwMS, while SUDOSCAN results showed pathology in 8 (10.7 %) pwMS. We found a positive correlation between the QSART volume of the foot and the SUDOSCAN electrochemical skin conductance (ESC) results for the corresponding leg (r = 0.282, p = 0.015). pwMS with cervical spinal cord lesions had higher ESC values for the hand mean, left, and right (69.88±12.84 vs 76.15±9.29, p = 0.022; 69.88±12.82 vs 76.22±9.36, p = 0.021; and 70.33±13.00 vs 76.52±9.27, p = 0.024; respectively).
CONCLUSIONS: People with MS frequently experience sweating problems. Using various methods to identify sweating issues in pwMS reveals differences in the causes of these problems in pwMS.