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Palmar and plantar hyperhidrosis is relatively common and can have severe psychological and medical consequences for those afflicted. A multitude of treatments exist but are often inadequate especially for those with significant disease. In these cases botulinum neurotoxin provides a reliable method for reducing the symptoms and improving quality of life. Although actual administration is relat...

Aluminum chloride hexahydrate concentration-dependently inhibits perspiration and is highly effective in palmar and axillary hyperhidrosis. The main effect is in the sealing of the sweat glands, the precipitation of aluminum-mucopolysaccharide-complexes and the damage to the epithelial cells in the excretory ducts of the eccrine sweat glands result in sealing of these ducts. Other aluminum salt...

Most surgeons still perform T2 or T2-3 sympathectomy for palmar hyperhidrosis (PH), but both of these treatments can cause severe side effects. Some recent articles advocating T4 sympathectomy have obtained satisfactory results. The aim of this study was to compare the outcomes of 3 different levels of sympathectomy. Between July 2003 and July 2006, we treated 60 patients (20 men and 40 women, ...

A 21-year-old woman presented with a five-year history of burning pain, redness, swelling and heat in her feet. The medical history disclosed palmar hyperhidrosis. Her family history was unremarkable. Examination showed erythema, heat and marked swelling in her feet, which improved after gabapentin and acetylsalicylic acid treatment (Figure). An extensive evaluation for secondary causes was unr...

OBJECTIVE This evaluated the long-term outcome after endoscopic thoracic sympathectomy (ETS) from below D1 to D4, using a single-site access technique for primary hyperhidrosis of the upper limbs. SUMMARY BACKGROUND DATA Primary hyperhidrosis of the upper limbs is a distressing and often socially disabling condition. Endoscopic thoracic sympathectomy is considered the treatment of choice, cau...