What Is Hyperhidrosis?

Hyperhidrosis is a common condition, characterized by excessive sweating, that can have a substantially negative impact on one’s quality of life.

Focal (or primary) hyperhidrosis commonly affects the axillae, palms, soles, or face.

Generalized hyperhidrosis involves the entire body and is usually related to an underlying condition.

Hyperhidrosis Is a Common Condition

In a survey mailed to 150,000 households, 2.9% reported that they experienced excessive or abnormal/unusual sweating.

About half reported axillary hyperhidrosis.Approximately one third of individuals with axillary hyperhidrosis reported that either their sweating is barely tolerable and frequently interferes with daily activities or is intolerable and always interferes with daily activities.

Hyperhidrosis affects a much larger proportion of the US population than previously reported.

Focal/Generalized Hyperhidrosis

Focal hyperhidrosis is mostly primary/idiopathic. Usual sites include plantar, palmar, axillae, and face; onset is mostly at puberty/early adulthood.

Generalized hyperhidrosis is usually secondary in nature and can be caused by:

  1. Drugs, toxins, substance abuse
  2. Cardiovascular disorders
  3. Respiratory failure
  4. Infections
  5. Malignancies
  6. Endocrine/metabolic (eg, carcinoid tumor, hypoglycemia, menopause)

Diagnosis of Primary Focal Hyperhidrosis

Diagnosis of primary focal hyperhidrosis can be made on the presence of visible and excessive sweating of at least 6 months’ duration without apparent cause, along with at least two of the following characteristics:

  1. Bilateral and relatively symmetric
  2. Impairs daily activities
  3. Frequency of at least one episode per week
  4. Age at onset: younger than 25 year
  5. Positive family history
  6. Cessation of focal sweating during sleep

Treatment Options for Hyperhidrosis

Treatment options for hyperhidrosis include the following:

  1. Topical antiperspirants: a wide range of topical products can be found on SkinMiles. Please click here and here.
  2. Botulinum Toxin Type A.Please contact us for further information on treating Hyperhidrosis with Botulinum Toxin Type A at 021 7970960 or WhatsApp 083 254 0158.
  3. Oral anticholinergic agents (e.g. glycopyrrolate). Your family doctor can prescribe these for you.
  4. Iontophoresis: passage of ions by means of an electrical current into the skin.
  5. Surgery such as local sweat gland resection and endoscopic thoracic sympathectomy. Please ask you family doctor for a referral to a general or cardio-thoracic surgeon.

Please contact us for further information on treating Hyperhidrosis with Botulinum Toxin Type A.