Introduction

Hyperhidrosis describes the excessive production of sweat.

Clinical features

Management

Management options include
  • topical aluminium chloride preparations are first-line. Main side effect is skin irritation
  • iontophoresis: particularly useful for patients with palmar, plantar and axillary hyperhidrosis
  • botulinum toxin: currently licensed for axillary symptoms
  • surgery: e.g. Endoscopic transthoracic sympathectomy. Patients should be made aware of the risk of compensatory sweating