Diagnosis and management of hyperhidrosis
@article{Benson2013DiagnosisAM, title={Diagnosis and management of hyperhidrosis}, author={Ruth A Benson and Rachel Palin and Peter E. Holt and Ian M. Loftus}, journal={BMJ : British Medical Journal}, year={2013}, volume={347} }
#### Summary points
Primary hyperhidrosis is characterised by sweating in excess of that needed for normal thermoregulation.1 The condition often goes unreported because of embarrassment,2 and management is hindered by a poor evidence base and lack of clinical guidelines. Anxiety about social situations and relationships, and problems with daily living, such as an inability to hold a pen at work, can affect quality of life.3 Hyperhidrosis may be associated with bromhidrosis (unpleasant odour…
43 Citations
Interventions for hyperhidrosis in secondary care: a systematic review and value-of-information analysis.
- MedicineHealth technology assessment
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The effectiveness review indicated that iontophoresis, BTX, medication, curettage and ETS was the most cost-effective sequence, with an incremental cost-effectiveness ratio of £9304 per quality-adjusted life-year, and the Hyperhidrosis Quality of Life Index was superior to other tools commonly used in hyperhidrosis research for assessing quality of life.
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New treatment modalities, surgical procedures, associated comorbidities, and the impact on managed care of hyperhidrosis are discussed, so clinicians can tailor therapy, improve outcomes, and increase patient satisfaction.
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This study assessed change in QoL of patients with AHH following SP, which involves day-case removal under local anaesthetic of the dermal eccrine sweat glands through a central axillary incision and the impact of AHH on patients’ quality of life (QoL) in the preceding week.
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- 2021
There was evidence for a median reduction in the Hyperhidrosis Disease Severity Scale, a qualitative self‐reported score, as well as an increasing duration of efficacy with repeated injections, which suggests that treatment of palmar hyperhidrosis should be considered earlier and more frequently.
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EBS-l patients have frequent and severe pain with neuropathic characteristics, which is undertreated and affects quality of life (QoL).
Is still hyperhidrosis a worthy of investigation issue?—primary hyperhidrosis and its treatment: state of the art
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- 2019
Hyperhidrosis is an excessive sweating compared to physiological body thermoregulation that severely affects individual’s social, mental and working life leading to a lower QoL.
Elevated Social Stress Levels and Depressive Symptoms in Primary Hyperhidrosis
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This initial study provides an impetus for further investigation to reveal a causative relationship between hyperhidrotics and its psychological concomitant to reveal the etiology of depression.
Oxybutynin for the Treatment of Primary Hyperhidrosis: Current State of the Art
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Oxybutynin is an anticholinergic drug with an emerging role in the treatment of hyperhidrosis and shows universally good response among different groups of patients regardless of age, gender, and weight.
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