Dermatological Treatments
Information on Hyperhidrosis
Hyperhidrosis is a condition characterized by abnormally increased sweating, beyond what is necessary to smoothly regulate body temperature. It may be generalized or localized to specific body parts such as the hands, legs, face and armpits, which is the most common point. It affects equally men and women, and usually occurs during adulthood, usually in the second or third decade of human life.
What Are The Categories Of Hyperhidrosis?
Hyperhidrosis is distinguished in two major categories:
  • Primary hyperhidrosis: It usually affects a particular area of the body and is due to a dysfunction of the sympathetic nervous system. When it attacks the whole body, it is called generalized hyperhidrosis, while when it affects a particular area of the body it is called focal hyperhidrosis. The areas most frequently affected by focal hyperhidrosis are armpits, palms, soles and scalp. In the majority of cases of primary hyperhidrosis, there is no cause, and may be due to hereditary factors and intensified during periods of stress. It is estimated that about 3% of the population suffers from it, but rarely seek help from a specialist, resorting to inefficient local methods such as creams and deodorants.
  • Secondary hyperhidrosis: Unlike primary hyperhidrosis, it can begin at any time in the person and requires much more attention as it is directly linked to a health problem that is an indication or symptom. Secondary hyperhidrosis often occurs when the person is suffering from thyroid or pituitary disorders, diabetes mellitus, gout, drug allergy or menopause.

How Is Hyperhidrosis Caused?
Primary hyperhidrosis, although it has no specific cause for scientists, appears to be due to over-functioning of the thalamus while transmitted through the nervous system to the secretory sweat glands. It is attributed to hereditary factors, it begins in adolescence or in childhood, tends to attack the armpits, palms and soles symmetrically, and decreases in the night and disappears during sleep.

In contrast, secondary hyperhidrosis, which occurs mainly after adulthood and is attributed as a symptom or indication of a disease, does not depend entirely on the individual's family history. This is why it is rarer than primary hyperhidrosis, it can be asymmetric and generalized, and it can happen at any time, even at night and during sleep.

Do I Suffer From Hyperhidrosis?
The recording of the distribution and range of both primary and secondary hyperhidrosis is done in the following two ways, which are also applied at the Dermatology & Cosmetics Lab:
  • Balancing Method: Absorbent paper is used that remains in the area of interest (palm, armpit, sole etc.) for a specified time, then weighed to calculate the amount of exudate sweat.
  • Minor starch-iodine test: In this most modern method, a 5% iodine solution is initially applied to the test area. When the solution is dried, starch powder is applied. Sweat that is secreted reacts with iodine and starch causing the colour to change to deep violet at the hyperhidrosis areas. This technique is more detailed in the mapping of the hyperhidrotic areas.
In the past, other methods have been used to identify the problem such as:
  • Chromatographic of o-phthalaldehyde, bromophenol blue and ninhydrin.
  • Methods of stamping by molding the affected skin surface.
  • Immediate microscopy and counting of changes in electrical resistances of the skin.
Hyperhidrosis and Poor Psychology
The effects of hyperhidrosis have to do mainly with the psychological factor of those who suffer, as it is a problem that makes its presence felt constantly and is aggravated by anxiety being covered. Several sufferers have reported feeling confident, social and sexual inadequacy and depression, as this has made many areas of their lives difficult, even in finding a job.

How Is Hyperhidrosis Treated?
Traditional anti-hyperhidrosis treatments usually involve creams containing aluminum chloride, as well as the use of aluminum salts and various homeopathic substances. These methods, although they can slightly improve the situation, have temporary effects and need constant repetition and renewal.

At the Dermatology & Cosmetics Lab, we suggest the most modern and painless methods for treating hyperhidrosis, a problem that can cause an important issue in the individual's psychology, such as:
  • Botox treatment of hyperhidrosis: Botox, in addition to many applications in other areas, also helps in hyperhidrosis. Botox is generally a drug that stops the nervous stimulus. In this specific application against hyperhidrosis, botox stops the nervous stimulus that reaches up to the sweat glands and gives them the command to produce sweat. It should be noted that botox application in such conditions prevents excessive sweating rather than normal sweat production.
  • Laser hyperhidrosis treatment ND-YAG: It is the ideal method of treating hyperhidrosis in men and women with a success rate of 90%. The method is applied after mapping of the area and local anesthesia. It takes about 45 minutes, and then the patient can return unhindered to his everyday life and activities.
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