It is characterized by excessive sweat excretion (> 50 mg / mm), more than
required for thermoregulation. It is distinguished in primary and secondary.
Hyperhidrosis mainly concerns palms – soles. Sweat excretion in sufferers is up
to 30 times greater and can be lost up to 3 lit / h. Hyperhidrosis has serious
social, professional, economic and psychological consequences. In some cases,
it is the result of another disease, e.g. (ED, thyrotoxicosis, menopause, etc.)
Treatment:
a) General measures (light clothing, air conditioning, avoidance of alcohol and
traffic, rehabilitation of liquids).
(b) Titanium ammonium lactate
c) Anticholinergics
(d) Iontophoresis. Per os: β – Adrenergic blockers (glycopyrrolate 2mg x 3 or
oxybutynin 5mg x 2)
e) Botox. It works on cholinergic nerve fibers and prevents the secretion of
acetylcholine. It is advisable to do this with a 14-day difference, the right from
the left palm because it can bring a muscle weakness to the hands.
(f) Surgical treatment:
Exception to sweat, laser, ultrasound.
Sympathectomy (thoracic for axillary hyperhidrosis with severe complications
or lumbar spine hyperhidrosis).