Shams, K. and Rzany, B. (2014) Focal hyperhidrosis. In: Williams, H. C., Bigby, M., Herxheimer, A., Naldi, L., Rzany, B., Dellavalle, R. P., Ran, Y. and Furue, M. (eds.) Evidence-Based Dermatology. John Wiley & Sons, Ltd., pp. 504-511. ISBN 9781118357675 (doi: 10.1002/9781118357606.ch59)
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Abstract
The amount of sweating depends on environmental factors and the physical and emotional state of the patient. Consequently, there are no widely accepted diagnostic cut-offs for diagnosing hyperhidrosis. This limitation remains a great challenge for those diagnosing, treating, and researching the condition. Sweating is typically categorized as being focal or generalized, and either primary or secondary. Focal hyperhidrosis is most commonly a primary condition, although there are exceptions, such as Frey's syndrome. This chapter discusses focal hyperhidrosis and its incidence/prevalence, etiology, prognosis and diagnostic tests. It also discusses the interventions that reduce sweating effectively in patients with axillary hyperhidrosis: aluminum chloride, botulinum toxin A (BTX-A), oral anticholinergics, iontophoresis, destructive treatment strategies and sympathectomy. The interventions that reduce sweating effectively in patients with palmar hyperhidrosis are also discussed, which includes topical agents, BTX-A, oral anticholinergics, iontophoresis and sympathectomy.
| Item Type: | Book Sections |
|---|---|
| Status: | Published |
| Glasgow Author(s) Enlighten ID: | Shams, Dr Kave |
| Authors: | Shams, K., and Rzany, B. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Infection & Immunity |
| Publisher: | John Wiley & Sons, Ltd. |
| ISBN: | 9781118357675 |
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