Hyperhidrosis Questions & Answers

Updated: Apr 19, 2019
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: William D James, MD  more...
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Questions & Answers

Overview

What is hyperhidrosis?

What are the types of hyperhidrosis?

What is the pathogenesis of hyperhidrosis?

What is essential hyperhidrosis?

What are the different forms of hyperhidrosis?

Which conditions are associated with hyperhidrosis?

How is localized unilateral or segmental hyperhidrosis characterized?

What is the presentation of primary focal hyperhidrosis?

Which conditions are associated with localized hyperhidrosis?

What is the incidence of hyperhidrosis in the US and UK?

Which country has the highest prevalence of hyperhidrosis?

Which ethnic group has the highest prevalence of hyperhidrosis?

Is hyperhidrosis more common in males or females?

What are the age-related demographics of hyperhidrosis?

What is the prognosis of hyperhidrosis?

What is included in the patient education information for hyperhidrosis?

Presentation

What is essential hyperhidrosis?

What is the typical presentation of hyperhidrosis?

How is hyperhidrosis associated with alcoholism?

At what age does localized hyperhidrosis typically present?

What are the manifestations of hyperhidrosis?

Does hyperhidrosis have a psychologic component?

What causes hyperhidrosis?

What are the diagnostic criteria for primary hyperhidrosis?

What are the physical findings in hyperhidrosis?

What are the complications associated with hyperhidrosis?

DDX

Which conditions should be considered in the workup of hyperhidrosis?

What are the differential diagnoses for Hyperhidrosis?

Workup

Which lab studies are indicated in the workup of hyperhidrosis?

What is the role of chest radiography in the workup of hyperhidrosis?

What are the histologic findings in hyperhidrosis?

Treatment

What are the treatment options for hyperhidrosis?

Which topical agents are used for the treatment of hyperhidrosis?

What is the role of Drysol in the treatment of hyperhidrosis?

How is axillary hyperhidrosis treated?

What is the role of anticholinergics in the treatment of hyperhidrosis?

How effective is iontophoresis in the treatment of hyperhidrosis?

Why are botulinum toxin injections an effective treatment for hyperhidrosis?

What is the role of subepidermal injections for the treatment of palmar hyperhidrosis?

How effective are sodium chloride solution injections for the treatment of hyperhidrosis?

How effective is botulinum toxin type A in the treatment of hyperhidrosis?

How is inguinal hyperhidrosis treated?

How is bromhidrosis associated with hyperhidrosis treated?

What nonpharmacologic options are available for the treatment of hyperhidrosis?

What are the surgical procedures used to treat palmar hyperhidrosis?

How effective is sympathectomy for the treatment of hyperhidrosis?

Which ganglia are responsible for palmar, axillary, and facial hyperhidrosis?

What are the surgical options for sympathectomy in the treatment of hyperhidrosis?

What complications are associated with endoscopic sympathectomy for the treatment of hyperhidrosis?

What is the role of T4 sympathectomy in the treatment of palmar hyperhidrosis?

What is the preferred treatment of palmar hyperhidrosis in children?

How effective is topical glycopyrrolate for the treatment of hyperhidrosis after sympathectomy?

What is the role of surgical excision in the treatment of hyperhidrosis?

What is the role of Nd-YAG laser in the treatment of hyperhidrosis?

What is the role of liposuction in the treatment of hyperhidrosis?

Which specialist consultations are indicated in the treatment of hyperhidrosis?

What is included in the long-term monitoring of hyperhidrosis?

Medications

What are the goals of drug treatment for hyperhidrosis?

Which medications in the drug class Neuromuscular Blocking Agents are used in the treatment of Hyperhidrosis?

Which medications in the drug class Anticholinergic Agents are used in the treatment of Hyperhidrosis?

Which medications in the drug class Aluminum Compounds are used in the treatment of Hyperhidrosis?