J Korean Med Assoc.  2005 Aug;48(8):757-763. 10.5124/jkma.2005.48.8.757.

Hyperhidrosis and Its Treatment

• Lee DY
• Hwang JJ

• KMID: 2064941
• DOI: http://doi.org/10.5124/jkma.2005.48.8.757

Abstract

Excessive sweating, or hyperhidrosis, can have detrimental effects on the patient's quality of life, resulting in impairment of daily activities, social interactions and occupational activities. The symptoms of hyperhidrosis also may put the patients at risk of fear, avoidance and even social anxiety disorder. Hyperhidrosis is caused by an excessive, non-thermoregulatory sweat response to emotional stimuli in body regions influenced by the central preoptic-anterior hypothalamus. Treatment options are based on the severity of symptoms and the risks and benefits of therapy. In general, noninvasive topical agents and medications are initial treatment options. Endoscopic sympathetic surgery can be used for severe cases of palmar, axillary and facial hyperhidrosis. Compensatory sweating is an annoying complication after sympathetic surgery; however, various methods have been introduced to reduce or reverse it. Nonetheless, careful selection is needed for the patient to improve the quality of life after the treatment.

Keyword

Hyperhidrosis; Endoscopic sympathetic surgery; Compensatory sweating

MeSH Terms

Anxiety Disorders
Body Regions
Humans
Hyperhidrosis*
Hypothalamus
Interpersonal Relations
Quality of Life
Risk Assessment
Sweat
Sweating

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  Figure 1

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