Abstract
We report a patient having palmar hyperhidrosis with panic disorder treated with endoscopic thoracic sympathectomy (ETS). A 17-year-old man had experienced palmar hyperhidrosis and panic attacks since attending elementary school. Although he received fluvoxamine and cognitive behavior therapy, the panic attacks frequently occurred. He visited our clinic and complained of hyperhidrosis. He underwent ETS, which improved the palmar hyperhidrosis and panic attacks, and thus discontinued fluvoxamine. One year later, he reported a good social life without recurrence of palmar hyperhidrosis and panic attacks.
