Excessive sweating, hyperhidrosis

Question 1

hyperhidrosis is

Answer 1

excessive sweating beyond what is needed for normal thermoregulation

Question 2

causes of hyperhidrosis

Answer 2

idiopathic (primary hyperhidrosis)
ETOH abuse and opioid withdrawal
endocrine: hyperthyroidism
diabetes/ hypoglycemia, menopause
medications: antidepressants, insulin/oral hypoglycemics, SERMs and niacin

Question 3

hyperhidrosis manifestations

Answer 3

excessive nonthermoregulatory sweating
axillae, face, palms and soles
impairment of daily activity, occupational function and emotional wellbeing

Question 4

treatment of hyperhidrosis

Answer 4

topical aluminum chloride solution applied at night
iontophoresis (palms, soles)– this is application of electrical current in a device that contains tap water
botulism toxin

anticholinergic effects are associated with more side effects

Question 5

with primary hyperhidrosis when do these cases present?

Answer 5

symptomatic before age 25 yrs and pts have a family history of similar symptoms.

These are not the same as night sweats as this happens during the day