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Plötzlicher unerklärlicher Schweißausbruch (Diaphorese): Ursachen und Warnsignale

Diaphoresis = sudden, profuse sweating without obvious trigger (heat, exertion). It often signals an underlying issue.

Medical Causes

  • Hormonal: Menopause, hyperthyroidism, diabetes (hypoglycemia), pheochromocytoma, carcinoid.
  • Cardiac: MI, angina, heart failure—often with chest pain, dyspnea.
  • Infectious: TB, endocarditis, HIV, malaria, sepsis.
  • Neurological: Autonomic dysreflexia (SCI), Parkinson's, stroke, syringomyelia.
  • Malignancy: Lymphoma, leukemia, solid tumors.
  • Medications: Antidepressants (SSRIs/SNRIs), antipsychotics, opioids, steroids, some BP meds.

Other Triggers

  • Stress, anxiety, panic attacks
  • Spicy food, alcohol, caffeine
  • Withdrawal (alcohol, opioids, benzos)

Red Flags—Seek Emergency Care

  • Chest pain, shortness of breath, dizziness, nausea/vomiting
  • Profuse sweating + hemodynamic instability
  • New-onset unexplained diaphoresis

Self-Care (Non-Urgent)

  • Hydrate, cool environment, loose clothing
  • Identify/avoid triggers (spice, caffeine, stress)
  • Relaxation techniques

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