Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • excessive palmar sweating
  • excessive plantar sweating
  • onset in early childhood or puberty
  • exacerbation of palmar sweating with use of hand lotion
  • severe facial sweating
  • severe axillary sweating
  • generalized sweating

Risk factors

  • family history
  • high emotional states
  • spicy foods
  • hot or humid climates
  • medications
  • substance abuse
  • endocrine disorders
  • cardiovascular diseases
  • hypoglycemia
  • menopause
  • infectious diseases
  • sepsis
  • neoplastic diseases
  • carcinoid tumors
  • neurologic injuries
  • obesity

Diagnostic investigations

Investigations to consider

  • starch-iodine test
  • gravimetry
  • thyroid function test
  • metabolic panel
  • 24-hour urine collection for catecholamines, metanephrines, normetanephrines
  • serum free metanephrines, normetanephrines
  • urine 5-hydroxyindoleacetic acid
  • urine drug screen
  • chest x-ray
  • CT scans
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Fritz J. Baumgartner

Medical Director

Center for the Cure of Hyperhidrosis

Fountain Valley

Clinical Assistant Professor of Surgery

UCLA School of Medicine

Division of Cardiothoracic Surgery

Harbor-UCLA Medical Center

Torrance

CA

Disclosures

FJB is author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Dermatology Institute and Skin Care Center

Clinical Science Institute

Santa Monica

CA

Disclosures

PSY declares that he has no competing interests.

Clinical Professor and Chief

Division of Cardiothoracic Surgery

UC Irvine School of Medicine

Orange

CA

Disclosures

JM declares that he has no competing interests.

Consultant Surgeon

Ipswich Hospital NHS Trust

Ipswich

UK

Disclosures

AC declares that he has no competing interests.

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