Hyperhidrosis refers to sweating excessively, beyond the physiological needs of thermoregulation and emotional stimuli.
Classification of hyperhidrosis
| Classification | Features |
|---|---|
| Primary hyperhidrosis | Affects specific body regions, e.g., axilla, palms, plantar area, craniofacial area, or inguinal region |
| Secondary hyperhidrosis | Generalized sweating (due to systemic conditions or medication), compensatory sweating (following intervention for primary hyperhydrosis), and nocturnal sweating (due to tuberculosis, lymphoma, or menopause) |
- Differentials
- Gustatory sweating (Frey’s syndrome)
- Aquagenic wrinkling of the palms
- Dyshidrotic eczema
- Miliaria rubra
- Treatment
- Topical aluminium chloride (first-line)
- Iontophoresis
- Botulinum toxin
- Surgery (endoscopic transthoracic sympathectomy)
