Differences in subjective and objective evaluation of hyperhidrosis. Study among medical students
Łukasz Dobosz1, Tomasz Stefaniak1, Joanna Halman2
1Department of General, Endocrine and Transplant Surgery, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.
Postepy Dermatologii I Alergologii
|November 26, 2020
Summary
Subjective hyperhidrosis assessments are significantly higher than objective measures. This study highlights a discrepancy in evaluating sweating severity, impacting treatment qualification.
Area of Science:
- Dermatology
- Medical Diagnostics
Background:
- Hyperhidrosis significantly impacts quality of life.
- Current treatment qualification relies on subjective symptoms without objective confirmation.
Purpose of the Study:
- To compare subjective and objective sweating evaluations.
- To identify discrepancies in hyperhidrosis assessment methods.
Main Methods:
- 179 participants evaluated sweating using Hyperhidrosis Disease Severity Scale (HDSS) and Numeric Rating Scale.
- Objective sweating assessment utilized gravimetry across four body areas.
- Statistical analysis compared subjective and objective findings.
Main Results:
- Objective hyperhidrosis prevalence was 1.12%, versus 11.17% subjectively (HDSS 3 or 4).
- Men showed higher gravimetric perspiration in the face and armpits.
- Higher BMI correlated with more frequent subjective hyperhidrosis reports, but not objective findings.
Conclusions:
- A significant discrepancy exists between subjective and objective hyperhidrosis evaluation methods.
- Current subjective assessments may overestimate hyperhidrosis prevalence.
- Objective measures are crucial for accurate diagnosis and treatment qualification.
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