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Hyperhidrosis

From Surgopaedia

Excessive sweating

Classification:

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  • Primary/focal - localised
  • Secondary/generalised - usually the result of some other condition
    • Diabetes
    • Parkinson's
    • Hyperthyroidism
    • Hyperpituitarism
    • Anxiety disorder
    • Phaeochromocytoma
    • Menopause

Management

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Medical

  • Topical anticholinergics
  • Antiperspirant with aluminium chloride
  • PO anticholinergics - glycopyrrolate/oxybutynin

Botox injections

Thoracic sympathectomy

  • Best for hand sweating
  • Indications
    • Severe and debilitating symptoms that cannot be managed with other therapies
  • Complications
    • Compensatory sweating
    • Horner's syndrome 1%
    • Gustatory sweating
    • Excessive dryness of hands
    • Cardiac sympathetic denervation
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