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Diaphoresis and Meniere's Disease
Leslie E. Herman, MS;
Malcolm H. Stroud, MD;
William F. Carver, MD;
I. Kaufman Arenberg, MD
Arch Otolaryngol. 1977;103(12):700-704.
Abstract
• The effect of diaphoresis on patients with Meniere's disease (labyrinthine hydrops) previously has not been reported. With the use of two distinct activities to produce diaphoresis, we were able to document substantial transient improvements in pure-tone threshold, speechreception threshold, and speech discrimination concurrent with a decrease in tinnitus and fullness in two patients with unilateral Meniere's disease that had been diagnosed previously by the glycerin test. The two diaphoretic activities were (1) strenuous exercise, including periodic visits to the sauna, and (2) passive activity consisting of repetitive visits to the sauna.
Glycerin, an osmotic diuretic, produces similar temporary beneficial effects primarily in patients in the fluctuant hearing stage of Meniere's disease. The glycerin test is being used in several clinics as an adjunct for the diagnosis of endolymphatic hydrops.
(Arch Otolaryngol 103:700-704, 1977)
Author Affiliations
From the Department of Otolaryngology, Washington University School of Medicine, St Louis. Ms Herman is now at the New Haven (Conn) Hearing and Speech Center; Dr Arenberg is now at the University of Wisconsin, Madison.
Footnotes
Accepted for publication April 15, 1977.
Reprint requests to Department of Otolaryngology, Washington University School of Medicine, 517 S Euclid Ave, St Louis, MO 63110 (Dr Stroud).
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