Professional Documents
Culture Documents
Hyperhidrosis
Mohan Gamesh
Contents
• Physiology of sweating
• Introduction
• Pathophysiology of
excessive sweating
• Etiology
• Signs & Symptoms
• Diagnosis
• Treatment
Physiology of sweating
• Sweating is regulated by the sympathetic division of the
autonomic nervous system.
(http://www.sweathelp.org/English/HCP_Hyperhidrosis_Physiology.asp)
Physiology of sweating
Hyperhidrosis
Hyperhidrosis
Primary Secondary
Etiology
• Patients can have excessive sweating either in:
localized area (focal) or
over the entire body (generalized)
Thyroid-stimulating hormone
– screen for thyroid dysfunction
Effects on Patients' Lives
• Hyperhidrosis can have
very significant effects
causing:
physical discomfort
social embarrassment
negative impact on occupational and
daily activities
Effects on Patients' Lives
• Surgery
• Antimuscarinic agents
(propantheline bromide)
• Absorbants (talc)
• Psychological (CBT)
Aluminum chloride hexahydrate
solution
• 6 to 20% solution in absolute ethyl alcohol
indicated for topical treatment of axillary, palmar, and
plantar sweating (require a prescription)
Glutaraldehyde
Formaldehyde
Tannic acid
Aluminum chloride hexahydrate
solution
• A solution of methenamine also may help