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| HYPERHIDROSIS | ARTICLE


OF TREATMENT OPTIONS FOR


AN OVERVIEW HYPERHIDROSIS AXILLARY


While sweating is a normal mechanism for the regulation of heat, for many it can prove a problem. Brett Kotlus discusses the treatment options available for hyperhidrosis


ABSTRACT Axillary hyperhidrosis is characterised by excess armpit sweating that interferes with daily activities, and is estimated to occur in 2–3% of the population. The Hyperhidrosis Disease Severity Scale (HDSS) assists in the initial patient assessment. Treatments range from non- invasive modalities to endoscopic thoracic surgery. New treatment options are available, including microwave and laser modalities that offer non-invasive or minimally-invasive long-term improvement.


S When sweating


occurs beyond the necessary amount


for thermoregulation, this is termed


hyperhidrosis.


WEATING IS A NORMAL MECHANISM used by the body to regulate heat under the control of the sympathetic nervous system. When sweating occurs beyond the necessary amount for thermoregulation, this is termed hyperhidrosis. Up to 3% of


the population experience excessive armpit sweating, or axillary hyperhidrosis. Other commonly affected sites include the palms and soles of the feet. This condition can be a source of significant


embarrassment and may impede social interactions. Sufferers are often otherwise healthy, but may avoid social events and require frequent changes of clothing. Symptoms often begin at puberty and many people may not seek treatment owing to unease with discussions and lack of knowledge about therapeutic


BRETT KOTLUS, MD, is a cosmetic and oculofacial surgeon practising in Michigan. He is the author of Boost Your Beauty and is a fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Academy of Ophthalmology, and the American Academy of Cosmetic Surgery.


email: kotlus@gmail.com


KEYWORDS hyperhidrosis, diagnosis, iontophoresis, botulinum toxin, curettage, microwave therapy


prime-journal.com | June 2012





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