Hyperhidrosis is a pathological condition characterized by excessive secretion of sweat by the secretory sweat glands.
It is divided into two categories: a). primary focal and b). secondary generalized hyperhidrosis.
PRIMARY FOCAL HYPERHIDROSIS
Primary focal hyperhidrosis is the excessive production of sweat in some areas of the body (armpits, feet, palms and face) and is not associated with underlying diseases, while it significantly affects the quality of life of individuals. It may be exacerbated by emotional disorders, since these result in stimulation of the post-ganglionic cholinergic fibres.
The cause is unknown, but it is probably due to hyperactivity of the parasympathetic system, which innervates the sweat glands and even the secretory ones. Stress and an increase in ambient temperature are two factors that exacerbate the problem of sweat hypersecretion.
SECONDARY GENERALIZED HYPERHIDROSIS
Secondary generalized hyperhidrosis occurs over large parts of the body and often occurs during sleep. Endocrinological and metabolic disorders such as thyrotoxicosis, diabetes, hypoglycaemia and menopause, neoplasms and paraneoplastic manifestations such as Hodgkin's disease, myeloproliferative diseases, infections, cardiovascular events, antidepressant drugs, withdrawal syndromes and neurological disorders can cause generalised hyperhidrosis.
In addition, secondary hyperhidrosis usually occurs in adulthood or may start after an accident, frostbite or the start of a medication.
WHAT WE DO
- Hyperhidrosis can be treated.
- Before the patient's visit to the dermatologist, it is suggested that the patient keeps a "sweat diary" for a few weeks.
- The sufferer should use an antiperspirant, not a deodorant, which should be applied to dry and clean skin in the evening, after a night bath and before bedtime. As regards the frequency of use, follow the dermatologist's instructions.
- Those who develop hyperhidrosis on the soles of the feet are at increased risk of infections such as epidermophytosis of the medial phalanges. It is recommended to wear shoes made of natural materials, which should be alternated, and also to wear socks that keep moisture away from the skin.
THERAPY
Treatment of hyperhidrosis includes topical methods or medications, injectables such as Aluminum Salts at a concentration of 20-25% and Ionophoresis, and systemically administered medications and treatments such as Anticholinergic drugs and Botulinum Toxin Injections.
