Night sweats
{{Short description|Repeated occurrence of excessive sweating during sleep}}
{{About|the medical condition|the television series|Night Sweats|the musical group|Nathaniel Rateliff}}
{{Use dmy dates|date=June 2020}}
{{Infobox medical condition (new)
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| synonyms = Sleep sweats, nocturnal hyperhydrosis
| field = Infectious disease, oncology
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Night sweats or nocturnal hyperhydrosis{{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}} is the repeated occurrence of excessive sweating during sleep.{{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}} 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.{{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}} 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.{{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 }}
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. Night sweats have been associated with a long list of clinical conditions.{{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}} However, there is very little evidence that supports clinical recommendations for this condition.
Associated conditions
The condition may be a sign of various disease states, including but not exclusive to the following:
- Cancers
- Lymphoma{{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}}
- Leukemia{{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}}
- Renal cell carcinoma{{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}}
- Polycythemia vera
- Infections
- HIV/AIDS{{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}}
- Tuberculosis
- Mycobacterium avium-intracellulare infection
- Infectious mononucleosis
- Fungal infections (histoplasmosis, coccidioidomycosis)
- Lung abscess
- Infective endocarditis
- Brucellosis{{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}}
- Pneumocystis pneumonia (most often – in immunocompromised individuals)
- Omicron variant of COVID-19{{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}}{{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}}
- Endocrine disorders
- Premature ovarian failure
- Hyperthyroidism
- Diabetes mellitus (nocturnal hypoglycemia)
- Endocrine tumors (pheochromocytoma, carcinoid)
- Orchiectomy
- Rheumatic disorders
- Takayasu's arteritis
- Temporal arteritis
- Ankylosing spondylitis
- Other
- Obstructive sleep apnea
- Gastroesophageal reflux disease
- Chronic fatigue syndrome
- Fibromyalgia
- Granulomatous disease
- Chronic eosinophilic pneumonia
- Lymphoid hyperplasia
- Diabetes insipidus
- Prinzmetal's angina
- Anxiety
- Pregnancy
- Menopause{{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}}
- Drugs
- Antipyretics (salicylates, acetaminophen)
- Antihypertensives
- Anabolic–androgenic steroids, in particular trenbolone, and the nandrolones
- Dinitrophenol – a common side effect
- Phenothiazines
- Drug withdrawal: ethanol, benzodiazepines, cannabis, heroin (and other opioids),
- Over-bundling
- Autonomic over-activity
- Inflammatory bowel disease (IBD) – Crohn's disease/ulcerative colitis
References
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External links
{{Medical resources
| ICD10 = {{ICD10|R|61||r|50}}
| ICD9 = {{ICD9|780.8}}, {{ICD9|327}}
}}
{{General symptoms and signs}}