Please register or login to view the chart

Hyperhidrosis – Quick review chart

Hyperhidrosis – excessive sweating

Primary- idiopathic ( no underlying cause ) over-activity of sympathetic nerves in body areas as axilla , palms , soles or craniofacial regions pathology is poorly understood focal primary hyperhidrosis is the most common form axilla is the most common site ( up to 79 % )

 

b/l and symmetrical peaks 2nd or 3rd decade of life (onset puberty ) duration atleast 6 months ( with no obvious cause ) impairs daily activity happens atleast once / week age of onset < 25 positive family history in 30 % to 50 % no sweating during sleep no change in sweat gland morphology

 

topical aluminium chloride ( 10-20 % ) chloride hexa hydrate
 oral ( anti cholinergics as amitriptyline ) , beta blockers , calcium channel blockers , oral propantheline injectibles ( botulinum toxin for axillary HH ) iontophoresis ( small electrical bath ) microwave thermolysis surgical – endoscopic thoracic sympathectomy axillary curettage , liposuction for axillary hyperhidrosis

REFERENCES

  1. Benson R APalin RHolt P J ELoftus I MDiagnosis and management of hyperhidrosis doi:10.1136/bmj.f6800 Diagnosis and management of hyperhidrosis | The BMJ
  2. Lakraj, Amanda-Amrita D et al. “Hyperhidrosis: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins.” Toxins vol. 5,4 821-40. 23 Apr. 2013, doi:10.3390/toxins5040821 Hyperhidrosis: Anatomy, Pathophysiology and Treatment with Emphasis on the Role of Botulinum Toxins (nih.gov)
  3. Brackenrich J, Fagg C. Hyperhidrosis. [Updated 2021 Oct 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459227/
  4. Schlereth, Tanja et al. “Hyperhidrosis–causes and treatment of enhanced sweating.” Deutsches Arzteblatt international vol. 106,3 (2009): 32-7. doi:10.3238/arztebl.2009.0032 Hyperhidrosis—Causes and Treatment of Enhanced Sweating (nih.gov)

Share

Related Charts:

Add Your Comments

Your email address will not be published.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

A4 Medicine  - Search Less and Learn More

Welcome to the A4 medicine community where we are constantly working to provide exceptional educational material to primary health care professionals. Subscribe to our website for complete access to our A4 Charts. They are aesthetically designed charts that contain 300 (plus and adding) common and complex medical conditions with the all information required for primary care in one single page that can help you in consultation/practice and exam.

Additionally, you will get complete access for our Learn From Experts : A4 Webinar Series in which domain experts share the video explainer presentation on one medical condition in one hour for the primary care. And you will also get a hefty discount on our publications and upcoming digital products.

We are giving a lifetime flat 30% discount to our first thousand users, discount code already applied to checkout.