![]() Although primary and secondary hyperhidrosis are symptomatically similar, there are some distinct differences between them. 2 Symptoms are usually dependent on the type of hyperhidrosis the person has. 2 Often, individuals with hyperhidrosis experience noticeable symptoms that may have an impact on their social life, including a whitish discoloration of the skin, skin peeling, and skin infections. 2 The sweating experienced with hyperhidrosis far exceeds normal sweating. Sweating is a normal bodily function that helps regulate the temperature of the body. 2 Treatment options for hyperhidrosis are generally effective however, severe cases may require surgical removal of sweat glands or disconnection of the nerves responsible for sweating. Complications in patients with hyperhidrosis may be physical (e.g., infection caused by increased moisture on the skin) or psychological (e.g., embarrassment and anxiety about potential body odor or sweat spots on clothing). 4 Secondary hyperhidrosis, which is less common, may be caused by certain drugs, neurologic disorders or other systemic diseases, or anxiety. 3,4 In primary hyperhidrosis, the patient is considered healthy and has no underlying conditions that could contribute to the excessive sweating. Hyperhidrosis may be classified as primary or secondary. Nearly 5% of the world’s population has hyperhidrosis. 1 Although sweating is a normal bodily function, excessive sweating is the production of sweat in amounts exceeding the body’s requirement for normal thermoregulation processes. ![]() Hyperhidrosis is excessive sweating that is usually unrelated to heat or exercise. Many people live daily with the symptom of excessive sweating. ![]() Management depends on the type of hyperhidrosis and the extent of the signs and symptoms, and it should be tailored to the patient. Therapy generally consists of antiperspirants or anticholinergics, but surgical intervention may be required in severe cases. Treatment options are typically based on the condition’s severity and the appropriateness for the patient. Diagnosis is made primarily through patient history and physical examination however, laboratory studies may reveal the distribution and severity of the condition. The current goal in working with patients with hyperhidrosis is to recommend effective coping skills and treatment options. ABSTRACT: Hyperhidrosis, or excessive sweating, is a medical condition that adversely affects the patient’s daily life. ![]()
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