With the term hyperhidrosis we mean the excessive sweating of a person.
It concerns the 3% of the population and affects both sexes. It appears mainly during the second or the third decade of our lives.
Hyperhidrosis is distinguished in primary and secondary.
Primary hyperhidrosis is usually focal, attributed to sympathetic nervous system malfunction and particularly its hyperactivity. It can also be noticed in stressful situations, tasting hyperhydrosis syndrome and secreting nevi. It may be relevant to genetic predisposition and be hereditary. It usually begins in childhood or adolescence and there is family history.
Secondary hyperhidrosis is indication of an underlying systematic disease caused by endocrine, metabolic or other disorders (thyroid storm, diabetes mellitus, hypoglycemia, menopause, tumors and paraneoplasmatic occurrences as Hodgkin’s disease, myeloproliferative disorders, infections, cardiovascular episodes, and antidepressants).
Until now, hyperhidrosis therapy was accomplished with these methods:
- Deodorant products and antiperspirant substances use, without essential results though.
- Iontophoresis: it is about a method using tap water and electric current 15-10mA. It is a second line therapy, mainly for the palms and feet focal hyperhidrosis. Its effectiveness is limited, continuous application is required due to restricted effect. It is not preferable by the patients because it is a time consuming and painful method in case of skin injury.
- Neurosurgical operation for the sweat glands denervation (armpits and palms) with the thoracoscopical sympathectomy method.
Hyperhidrosis modern treatment is done mainly with botulinum toxin injections, which ensure excellent results.
It is about botulinum toxin injections type A mainly (Botox, Dysport) and type B (Neurobloc). The therapy is painless, brief and the result lasts 7-8 months.