10th July 2023

Hyperhidrosis

Hyperhidrosis is excessive sweating. Sweat is produced by the eccrine glands of the skin. There are two types of sweat glands – apocrine (open into hair follicles) and eccrine (widely distributed, more serous fluid expulsion). A dysfunction in the eccrine glands often leads to hyperhidrosis Causes include climate changes, anxiety, spicy food, stroke, malignancy, diabetes, menopause, hyperthyroidism, alcohol, caffeine and many more.

Treatment options:

First line: topical aluminium chloride

Iontophoresis

Botulinum toxin – axilla

Endoscopic transthoracic sympathectomy