Axillary hyperhidrosis treatment by simple skin excision and undermining

Abstract

A xillary hyperhidrosis is a condition characterized by an excessive, usually unprovoked, production of sweat. In its idiopathic form it affects 0.6% to 1.0 % of the population (1), and may be confined to the axilla or involve the palms and soles. It also occurs secondarily as a feature of other systemic diseases (ie, thyrotoxicosis, hypoglycemia). Sweating occurs in bursts, usually associated with emotional situations, but may be spontaneous (2). When present, axillary hyperhidrosis can be the cause of tremendous embarrassment to the patient and, when severe, may even cause clothes to rot (3,4). It is more common in women, usually presenting in the late teens or early 20s. There appears to be an increased incidence among family members, implicating a genetic predisposition. Axillary hyperhidrosis is more common in individuals suffering from hyperhidrosis of the palms of the hands and/or soles of the feet. There does not appear to be an increase in the incidence of bromidrosis associated with axillary hyperhidrosis (5). Most patients present for medical or surgical treatment. This paper reviews current practices and demonstrates an effective, simple surgical procedure for the treatment of axillary hyperhidrosis. PATIENTS AND METHODS During the 13 year study period, 57 consecutive patients aged 17 to 48 underwent excision of the axillary sweat glands. The patients were referred by family physicians, dermatologists or other patients. Patients in this study were assessed as requiring surgery for relief of symptoms after conservative management had proved unsuccessful. Initial preoperative as

Epidemio-clinical, etiological, therapeutic and evolutive profile of hyperhidrosis: Moroccan experience

“…The side effects found were compensatory body sweating following thoracic sympathectomy in one patient.HH in our context is characterized by: young age of onset, female predominance, prevalence of localized forms, frequency of familial forms, frequency of moderate to severe forms, ineffectiveness of antiperspirants and Oxybutynin, the efficacy of botulinum toxin and sympathectomy, a very good satisfaction and tolerance and the scarcity of side effects. HH profoundly impacts the psychic state of particularly young and adolescent patients [1][2][3][4][5]. The mild forms can be managed by antiperspirants, Oxybutynin and iontophoresis while Letter to the Editor Epidemio-clinical, etiological, therapeutic and Epidemio-clinical, etiological, therapeutic and evolutive profi le of hyperhidrosis: Moroccan evolutive profi le of hyperhidrosis: Moroccan experience experience…”