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[Evaluation and management of hyperhidrosis].

Sébastien Menzinger1, Sandrine Quenan1

  • 1Service de dermatologie et vénéréologie, HUG, 1211 Genève 14.

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|July 20, 2017
PubMed
Summary

Hyperhidrosis is excessive sweating affecting 3% of the population. This review focuses on treatments for primary hyperhidrosis, distinguishing it from secondary causes.

Area of Science:

  • Medical Science
  • Dermatology
  • Endocrinology

Background:

  • Hyperhidrosis is defined as excessive sweating beyond thermoregulatory requirements, impacting approximately 3% of the global population.
  • It can manifest as primary hyperhidrosis or secondary hyperhidrosis, often linked to underlying medical conditions (e.g., diabetes mellitus, hyperthyroidism) or medications.

Purpose of the Study:

  • To provide a comprehensive review of the various treatment modalities available for primary hyperhidrosis.
  • To differentiate between primary and secondary hyperhidrosis through clinical assessment and diagnostic procedures.

Main Methods:

  • Clinical history taking and physical examination are crucial for initial diagnosis.
  • Diagnostic workup may include blood tests and specialist consultations (endocrinology, neurology) to rule out secondary causes.

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  • Treatment strategies for secondary hyperhidrosis focus on managing the underlying etiology.
  • Main Results:

    • The article systematically reviews established and emerging treatments for primary hyperhidrosis.
    • Treatment selection is tailored based on the severity of sweating and affected body areas.

    Conclusions:

    • Effective management of hyperhidrosis requires accurate differentiation between primary and secondary forms.
    • This review consolidates current knowledge on treating primary hyperhidrosis, offering guidance for clinical practice.