Palmoplantar hyperhidrosis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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W8MD medical weight loss NYC and sleep center NYC

Palmoplantar hyperhidrosis
Synonyms	Excessive sweating of the palms and soles
Pronounce	N/A
Specialty	Dermatology
Symptoms	Excessive sweating of the palms and soles
Complications	Skin infections, social anxiety
Onset	Typically during adolescence
Duration	Long-term
Types	N/A
Causes	Unknown, possibly genetic
Risks	Family history
Diagnosis	Clinical evaluation
Differential diagnosis	Hyperthyroidism, pheochromocytoma, anxiety disorder
Prevention	None
Treatment	Topical antiperspirants, iontophoresis, botulinum toxin injections, surgery
Medication	Anticholinergics
Prognosis	Good with treatment
Frequency	Common
Deaths	N/A

Palmoplantar hyperhidrosis is a medical condition characterized by excessive sweating in the palms of the hands and soles of the feet. This condition can be both physically uncomfortable and socially embarrassing, leading to significant distress for those affected.

Causes

The exact cause of palmoplantar hyperhidrosis is unknown, but it is believed to be due to overactivity of the sweat glands. This overactivity may be triggered by factors such as stress, anxiety, or certain foods and drinks. In some cases, palmoplantar hyperhidrosis may be a symptom of an underlying medical condition, such as hyperthyroidism or diabetes.

Symptoms

The primary symptom of palmoplantar hyperhidrosis is excessive sweating in the palms and soles. This sweating may occur even in cool temperatures or when the individual is at rest. The skin may appear pale or pink and may feel cold to the touch. In severe cases, the excessive sweating can lead to skin maceration and secondary bacterial or fungal infections.

Treatment

Treatment for palmoplantar hyperhidrosis typically involves a combination of lifestyle changes, medications, and surgical interventions. Lifestyle changes may include avoiding triggers such as spicy foods or stressful situations, wearing breathable shoes and socks, and using antiperspirant sprays or powders. Medications may include topical antiperspirants, oral medications to reduce sweating, or botulinum toxin injections. Surgical interventions may include sympathectomy, a procedure in which the nerves that stimulate the sweat glands are cut or destroyed.

See also

• Hyperhidrosis
• Sweat gland
• Sympathectomy

References

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