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ALL / Dermatology

Hyperhidrosis

Hyperhidrosis

Hyperhidrosis describes the excessive production of sweat.

Management options include
  • topical aluminium chloride preparations are first-line. Main side effect is skin irritation
  • iontophoresis: particularly useful for patients with palmar, plantar and axillary hyperhidrosis
  • botulinum toxin: currently licensed for axillary symptoms
  • surgery: e.g. Endoscopic transthoracic sympathectomy. Patients should be made aware of the risk of compensatory sweating
+PassMedicine Notes

Hyperhidrosis describes the excessive production of sweat.

Management options include
  • topical aluminium chloride preparations are first-line. Main side effect is skin irritation
  • iontophoresis: particularly useful for patients with palmar, plantar and axillary hyperhidrosis
  • botulinum toxin: currently licensed for axillary symptoms
  • surgery: e.g. Endoscopic transthoracic sympathectomy. Patients should be made aware of the risk of compensatory sweating


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