Hyperhidrosis
Introduction Hyperhidrosis is a benign skin condition of overproduction of sweat beyond the required thermoregulatory response. More than 90% of cases are primary , but secondary medical conditions or medications should be excluded. About 65% of patients with focal hyperhidrosis have family history. Symptoms Primary hyperhidrosis is typically focal and symmetric and most frequently affecting the axillae, but may also affect the soles of the feet, palms of the hands or the face. Most commonly starts between ages 14-25 years old. In cases where onset is before puberty, it more often affects the hands and feet. Secondary hyperhidrosis may be focal or generalized. Caused by underlying medical condition or medication use (e.g. SSRI, SNRI, cholinergic agonists, selective oestrogen receptor modulators). Management Advise patients to avoid environmental situations (e.g. spicy foods, alcohol, stressful situations) and clothing (tight clothing, occlusive shoes) that makes them sweat, if pos...