Differential Diagnosis for Night Sweats
Single Most Likely Diagnosis
- Tuberculosis (TB): Night sweats are a classic symptom of TB, especially in its active form. The body's immune response to the infection can cause an increase in body temperature, leading to sweating at night.
Other Likely Diagnoses
- Hormonal Changes: Night sweats can be associated with hormonal fluctuations, particularly during menopause or andropause. Decreases in estrogen or testosterone levels can lead to hot flashes and night sweats.
- Anxiety and Stress: Anxiety disorders, including generalized anxiety and panic disorder, can cause night sweats due to the body's stress response.
- Hypoglycemia: Low blood sugar levels, especially during sleep, can trigger the release of stress hormones, leading to sweating.
- Medications: Certain medications, such as antidepressants, hormone replacement therapies, and steroids, can cause night sweats as a side effect.
Do Not Miss Diagnoses
- Lymphoma: Night sweats can be a symptom of lymphoma, particularly Hodgkin's lymphoma. It's essential to consider this diagnosis to avoid missing a potentially life-threatening condition.
- Infections: Besides TB, other infections like endocarditis, osteomyelitis, or abscesses can cause night sweats.
- Hyperthyroidism: An overactive thyroid gland can lead to increased metabolism, heat production, and sweating.
Rare Diagnoses
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause excessive production of catecholamines, leading to night sweats, among other symptoms.
- Neurological Disorders: Certain conditions like autonomic dysfunction or multiple system atrophy can affect the body's temperature regulation, resulting in night sweats.
- Sleep Disorders: Sleep apnea, insomnia, or restless leg syndrome can contribute to night sweats, although they are less common causes.