Hyperhidrosis or excessive sweating in the armpits, palms and feet is a disease in which 70% of patients who suffer are affected emotionally and socially disadvantaged. Many suffer it, but few treat it. Hyperhidrosis is a disorder characterized by excessive sweating that goes beyond the physiological needs.
Studies conducted and disseminated by the University of Würzburg (Germany) have confirmed that it appears in the lives of people, interfering with their daily activities in the fields of work, with friends, family, and in the privacy of the couple.
Hyperhidrosis can be primary, of unknown cause, or secondary, related to some other pathology, and can manifest itself in a widespread or localized in areas like the armpits, the palms, the soles of the feet or the face .
It should be noted and distinguished of the bromhidrosis hyperhidrosis, that is odor in perspiration, which is caused by bacteria and yeasts that decompose sweat and wet skin, thus releasing an unpleasant odor.
Avoiding social contact, not shaking hands, and changing of clothes more than once a day, are some of the rituals that one who suffers this condition must meet every day.
A 2003 study at the University of Wurzburg in Germany indicated that 73% of patients demonstrated to be emotionally affected by hyperhidrosis.
The most common type of hyperhidrosis is the axillary and it is as high as 60% of the cases. Excessive sweating in the armpits is developed by overactivity of the sweat glands in that area and makes the individual feel unsanitary, having to change clothes several times during the day.
Notably, 52% of patients said they change one of their clothes at least once a day, while 20% take a second shower. 67.5% of people said they were hampered by meeting people for the first time, a 55.1% limited to develop.
However, axillary hyperhidrosis affects young people from puberty, it also seriously affects the individual’s social life.
The third group consists of patients with craniofacial hyperhidrosis, and usually it is adults.
Despite being more severe in men than in women, female patients consult most frequently about treatment for this disorder.
In the field of labor, patients are severely affected, feel that their work suffers a decrease in effectiveness, they feel this disease is a barrier to their professional development and stated that their work is more sloppy.
The key to treatment for hyperhidrosis is in the correct medical diagnosis. Depending on the cause and type of manifestation, the physician advises treatment.
Treatment with botulinum toxin type A, Botox ®, is one of the most innovative and effective methods of treatment for hyperhidrosis, especially in the underarm area, which already has the approval of regulatory agencies like the FDA and the National Food .
On the first stage, the areas of greatest sweating are identified on the patient that will be treated with botulinum toxin. This is done by applying iodine (paints region) and then starch spread on top. As you begin to perspire, the most affected areas, such as the armpit, stains blue says Dr. Ventura. This is how the area to be treated is delimited.
It is then given a series of small local intradermal injections in the area to be treated. The procedure is minimally uncomfortable and the region to be treated is numbed with cold (cold packs). The injections are given every two inches or so, like a grid. The results are noticeable in three or four days, and the procedure is usually performed twice a year, although some patients may be reduced to a single annual application.
It should be noted that in the hands the difference is that anesthesia should be used, it is a much more sensitive area and should act with more care given the proliferation of muscles in the area, but the procedure is identical. In all cases the treatment is ambulatory.