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Treatment of hyperhidrosis

L P Stolman1

  • 1University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Livingston, USA.

Dermatologic Clinics
|January 19, 1999
PubMed
Summary
This summary is machine-generated.

Hyperhidrosis, or excessive sweating, can be generalized in adults, requiring a search for underlying causes like medications or illness. Primary hyperhidrosis often starts in childhood, affecting localized areas like hands and feet.

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Area of Science:

  • Dermatology
  • Internal Medicine
  • Clinical Therapeutics

Background:

  • Hyperhidrosis presents diagnostic and therapeutic challenges for physicians.
  • Generalized hyperhidrosis in adults can occur during waking and sleeping hours.
  • Primary hyperhidrosis typically manifests in childhood or adolescence, localized to hands and/or feet.

Purpose of the Study:

  • To differentiate between generalized and primary hyperhidrosis.
  • To outline diagnostic approaches for identifying the cause of hyperhidrosis.
  • To review available treatment options for various types of hyperhidrosis.

Main Methods:

  • Systematic review of hyperhidrosis presentation and etiology.
  • Discussion of diagnostic workup for secondary hyperhidrosis.

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  • Evaluation of treatment modalities including systemic, topical, surgical, and electrical therapies.

    • Main Results:

    • Generalized hyperhidrosis in adults may stem from medications or systemic illnesses.
    • Primary hyperhidrosis is a physiological disorder, not psychiatric or endocrinologic.
    • Conservative therapies, particularly iontophoresis, are recommended before surgical interventions for palmar/plantar hyperhidrosis.

    Conclusions:

    • Accurate diagnosis is crucial for effective hyperhidrosis management.
    • A stepwise therapeutic approach is advised, prioritizing conservative treatments.
    • Surgical options for localized hyperhidrosis should be considered only after conservative measures fail due to potential side effects.