Hyperhidrosis is a common condition that manifest through excessive sweating and this can have a huge social, emotional and professional impact. This affliction is caused by hypersecretion of the sweat glands, that leads to producing more sweat than it would normally be needed for body thermoregulation. In most of the cases this condition is a chronical (idiopathic) one. However, other medical causes (tuberculosis, HIV, endocarditis, lymphoma, pheochromocytoma, hyper thyroiditis) or medicine
that can determine the apparition of hyperhidrosis have to be excluded for a correct diagnosis.
Hyperhidrosis is most commonly found around the axilla, palms, feet but it can also occur on the area of the face, scalp, inguinal, inframammary. The selection of the treatment is based on the localisation, patient’s expectations, safety, costs and availability. Topical aluminium salt antiperspirant is the first recommendation for axilla located hyperhidrosis. The patients that are not happy with the results can resort to botulinum toxin injections, a procedure that is rather painful but very efficient.