Materiały źródłowe

• #1 Hyperhidrosis: Diagnosis and Treatment – Bakersfield Dermatologist

  https://www.bakersfielddermatology.com/hyperhidrosis-diagnosis-and-treatment/

  Diagnosing hyperhidrosis may start with your health care provider asking about your medical history and symptoms. You may also need a physical exam or tests to further evaluate the cause of your symptoms. […] Your health care provider may recommend blood, urine or other lab tests to see if your sweating is caused by another medical condition, such as an overactive thyroid (hyperthyroidism) or low blood sugar (hypoglycemia). […] Or you may need a test that pinpoints the areas of sweating and evaluates how severe your condition is. Two such tests are an iodine-starch test and a sweat test.

• #2 Hyperhidrosis: Types, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis

  Hyperhidrosis is excessive sweating. A healthcare provider will diagnose hyperhidrosis after a physical exam and learning more about your symptoms and medical history. Theyll evaluate your symptoms using diagnostic criteria. If you experienced excessive sweating for at least six months and answered yes to at least two of the following questions, it may lead to a hyperhidrosis diagnosis: […] A healthcare provider may use one of the following tests to determine the cause of hyperhidrosis: […] A healthcare provider or a dermatologist can help you find the best treatment options to help you manage your symptoms. There isnt one form of treatment that works well for everyone. […] Treatment for hyperhidrosis varies based on the part of the body affected, the severity of your diagnosis and what treatment options work for you.

• #3 Hyperhidrosis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459227/

  Hyperhidrosis is classified as primary and secondary, and the management and treatment can significantly differ. […] The diagnosis is often made clinically, and grading scales and tests are available to determine the severity and localization. Laboratory workup may be indicated if a secondary cause is suspected to rule out infection, hyperthyroidism, diabetes mellitus, neurologic disorder, or a medication side-effect. […] Diagnosis is usually made from clinical assessment; thus, a visual inspection of the common sites is recommended. […] Diagnostic criteria for primary hyperhidrosis: Excessive sweating for 6 or more months, Sweating involves the axilla, palms, soles, and/or face, Sweating is bilateral and symmetric, Decreased or no sweating at night, Sweating episodes last at least 7 days, The individual is 25 years of age or younger, There is a family history, Sweating impairs daily living activities.

• #4 Diagnosis Guidelines – International Hyperhidrosis Society | Official Site

  https://www.sweathelp.org/about-hyperhidrosis/diagnosis-guidelines.html

  Given the potential for overlap in sweating rates between patients with hyperhidrosis and healthy controls, it is important to gauge the severity of social embarrassment and the effects on quality of life and impairment of daily activities in order to plan treatment, especially if more than one area is involved. […] The first step in the evaluation of a patient’s excessive sweating is to distinguish between primary and secondary hyperhidrosis. […] Primary hyperhidrosis has specific and characteristic findings such that Adar and colleagues feel the diagnosis can be made on the basis of history and physical alone. […] In summary, although the Hh diagnosis can usually be made on the basis of history and observed excessive sweating, gravimetric measurement may also provide a quantitative assessment.

• #4 Diagnosis Guidelines – International Hyperhidrosis Society | Official Site

  https://www.sweathelp.org/about-hyperhidrosis/diagnosis-guidelines.html

  The approach to diagnosis of primary hyperhidrosis (Hh) starts with using one or more methods of assessment of severity of sweating. Practical, qualitative, and quantitative methods are available to aid the clinician in confirming the diagnosis. A logical approach to making a clinical diagnosis is presented, along with a diagnostic algorithm outlining this approach. […] During the evaluation of a patient with primary hyperhidrosis, it is sometimes necessary to assess the rate of sweat production, the specific areas involved, and the effect of the condition on the patients quality of life, psycho-social wellness, and daily activities. […] A quantitative approach to assessing severity is gravimetric measurement, which can be done on the palm and in the axilla. […] After drying the surface, a preweighed filter paper is applied to the palm or axilla for a period of time measured by stopwatch. The paper is then weighed and the rate of sweat production is calculated in mg/min.

• #5 How Hyperhidrosis Is Diagnosed

  https://www.verywellhealth.com/hyperhidrosis-diagnosis-4778629

  The most common form of hyperhidrosis, involves sweating in one or more focal areas of the body, the most common areas that primary focal hyperhidrosis occurs is on the palms of the hands, under the arms and the soles of the feet. […] The diagnostic criteria (signs and symptoms that must be present to diagnosis a specific disease) for primary focal hyperhidrosis includes excessive sweating which occurs for six months or more in duration, along with four or more of the following: […] These criteria clearly differentiate the difference between primary focal hyperhidrosis and secondary hyperhidrosis and are intended to help the physician provide the optimal treatment. […] The process of differentiating between two (or more) medical conditions that have the same or similar symptoms is called a differential diagnosis. […] Each of the above conditions causes secondary, generalized, diffuse sweating, except spinal cord injury and reflex sympathetic dystrophy, which involve sweating in focal areas.

• #6 Hyperhidrosis: Management Options | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0601/p729.html

  Hyperhidrosis is excessive sweating that affects patients’ quality of life, resulting in social and work impairment and emotional distress. Primary hyperhidrosis is bilaterally symmetric, focal, excessive sweating of the axillae, palms, soles, or craniofacial region not caused by other underlying conditions. Secondary hyperhidrosis may be focal or generalized, and is caused by an underlying medical condition or medication use. […] There are no controlled studies on the sensitivity and specificity of the history, physical examination, or testing to accurately diagnose primary hyperhidrosis or to quantify its severity. Criteria for diagnosis include focal, visible, and excessive sweating for longer than six months without apparent cause, and at least two of the following: bilateral and symmetric sweating, impairment of daily activities, occurrence at least once per week, age of onset younger than 25 years, no occurrence during sleep, and a positive family history.

• #7 Causes of Excessive Sweating: Primary and Secondary Hyperhidrosis

  https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-causes-11

  Hyperhidrosis happens when your sweat glands stay on even when you don’t need sweat to cool you down. […] Hyperhidrosis is excessive sweating. People who have hyperhidrosis sweat to the point that moisture may literally drip from their hands. […] For the 1% to 2% of people who have hyperhidrosis, the sweat glands don’t shut off. […] The causes of hyperhidrosis depend on the type of sweating thats happening. […] There are two main types of hyperhidrosis. […] Primary hyperhidrosis (also called focal or essential hyperhidrosis) causes excessive sweating in the hands, underarms, face, and feet without any known reason. […] Secondary hyperhidrosis (also called generalized hyperhidrosis) causes excessive sweating all over the body or in a larger area of the body and can be caused by excessive heat as well as a medical condition or medication.

• #8 Causes of Excessive Sweating: Primary and Secondary Hyperhidrosis

  https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis-causes-11

  Doctors aren’t sure why people have primary hyperhidrosis, although it may be related to the genes you carry. […] Primary hyperhidrosis does not make you sick. […] The symptoms of primary hyperhidrosis are fairly specific. […] Why does it happen? Experts aren’t sure, but primary focal hyperhidrosis seems to stem from a minor malfunction in the sympathetic nervous system. […] People with primary hyperhidrosis may get relief with nonsurgical treatments, including: […] Surgery is usually only considered as a last resort for people with severe sweating in their hands and underarms. […] This less common form of hyperhidrosis causes sweating all over the body not just on the hands or feet. […] One telltale sign of secondary hyperhidrosis is excessive generalized sweating at night. […] Uncovering the medical condition that’s causing your hyperhidrosis and getting the proper treatment for it will help lessen the sweating of secondary hyperhidrosis. […] Hyperhidrosis or excessive sweating can happen for lots of reasons. […] If you are struggling with excessive sweat, talk to a doctor to see if you can find out the cause and ways to make it better.

• #9 Primary focal hyperhidrosis – UpToDate

  https://www.uptodate.com/contents/primary-focal-hyperhidrosis

  Hyperhidrosis (excessive sweating) is a common condition rarely due to significant underlying pathology that may have serious social, emotional, and professional consequences. […] The diagnosis and treatment of primary focal hyperhidrosis is reviewed here. […] A consensus panel suggested the following diagnostic criteria for primary focal hyperhidrosis: Focal, visible, excessive sweating of at least six months duration without apparent cause.

• #10 Hyperhidrosis: Management Options | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0601/p729.html

  Hyperhidrosis is excessive sweating that affects patients’ quality of life, resulting in social and work impairment and emotional distress. Primary hyperhidrosis is bilaterally symmetric, focal, excessive sweating of the axillae, palms, soles, or craniofacial region not caused by other underlying conditions. Secondary hyperhidrosis may be focal or generalized, and is caused by an underlying medical condition or medication use. […] There are no controlled studies on the sensitivity and specificity of the history, physical examination, or testing to accurately diagnose primary hyperhidrosis or to quantify its severity. Criteria for diagnosis include focal, visible, and excessive sweating for longer than six months without apparent cause, and at least two of the following: bilateral and symmetric sweating, impairment of daily activities, occurrence at least once per week, age of onset younger than 25 years, no occurrence during sleep, and a positive family history.

• #11 Hyperhidrosis and bromhidrosis A guide to assessment and management

  https://www.racgp.org.au/afp/2013/may/hyperhidrosis-and-bromhidrosis

  A diagnosis of idiopathic focal hyperhidrosis can be made on history if the patient is noted to have excessive visible sweating for at least 6 months and two of the following: bilateral symmetrical sweating, impairment of daily activities, at least one episode per week, onset before 25 years of age, positive family history, focal sweating that ceases during sleep. […] If there is no obvious underlying cause on history and examination, and the presentation is characteristic for primary focal hyperhidrosis, then further investigations are not required.

• #12 Hyperhidrosis: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/hyperhidrosis-treatment

  If youre living with excessive sweating, treatment can improve your quality of life. Effective treatment begins with an accurate diagnosis, which tells you the type of hyperhidrosis you have. […] To find out if you have hyperhidrosis, your dermatologist will ask you questions. […] To give you an accurate diagnosis, you may need a physical exam, medical testing, or both. These can find some possible causes of your excessive sweating. […] Once your dermatologist has all the necessary information, they will talk with you about your condition. […] Your dermatologist will customize your treatment plan to your needs. […] Patients diagnosed with primary hyperhidrosis (not due to a medication or medical condition) require treatment to control excessive sweating. […] To treat hyperhidrosis, your dermatologist will create an individualized treatment plan based on: The type of hyperhidrosis you have, Your symptoms, Where on your body you sweat heavily, Your preferences for treatment.

• #13 Hyperhidrosis – Diagnosis & Treatment

  https://www.upmc.com/services/esophageal-lung-surgery-institute/conditions/hyperhidrosis

  Doctors in UPMC’s Division of Thoracic and Foregut Surgery can diagnose hyperhidrosis by observing the visible signs of unprovoked and excessive sweating. […] They may ask you details about your sweating, such as: […] Location on body […] Time of occurrence […] Onset (i.e. with or without warning) […] Triggers (i.e. thought process when sweating occurs) […] Other noticeable symptoms (i.e. heart pounding or weight loss).

• #14 Hyperhidrosis (Excessive Sweating): Causes, Symptoms & Treatment

  https://www.webmd.com/skin-problems-and-treatments/hyperhidrosis2

  Hyperhidrosis Diagnosis […] To figure out if you have hyperhidrosis, your doctor will first talk to you about your symptoms and health history. They’ll ask when and where you sweat the most, what seems to cause it, and how it impacts your day-to-day activities. The doctor will also examine you to see how much you sweat and suggest blood, urine, and other lab tests to check for any other health issues that could be causing your condition. […] Sometimes, they might use other tools and tests, such as: […] Starch-iodine test, which turns your sweat brown to show where you sweat too much […] Vapometer, or a tool that checks how much water your skin loses and measures how much you sweat from your hands, underarms, feet, and head […] Paper test, which is a special type of paper that soaks up sweat. Your doctor will then weigh it to figure out your amount of sweat.

• #15 How Hyperhidrosis Is Diagnosed

  https://www.verywellhealth.com/hyperhidrosis-diagnosis-4778629

  Diagnosing hyperhidrosis may be a very complex, or it may be a simple process, depending on the underlying cause. […] For example, if a person is diagnosed with primary focal hyperhidrosis, the diagnostic criteria are relatively straight forward and simple. […] But either way, the initial appointment will involve a physical exam, medical history, and some basic tests to determine if a person has hyperhidrosis. […] The answers to the questionnaire will provide a clue as to just how symptoms are impacting your daily life and activities. […] These questions may be part of the diagnostic assessment that will help your healthcare provider more accurately diagnose your condition. […] The exam will include taking a very close look at the areas of the body where excessive sweating occurs.

• #16 Hyperhidrosis Disorder (Excessive Sweating)

  https://www.healthline.com/health/hyperhidrosis

  Hyperhidrosis disorder is a condition that results in excessive sweating. […] A healthcare professional could provide a proper diagnosis and develop a treatment plan that’s right for you. […] According to the AAD, a doctor can diagnose primary focal hyperhidrosis if you experience two or more of the following: excessive sweating that’s occurred for at least 6 months without an apparent reason, incidents of excessive sweating at least once a week, sweating that interferes with your daily activities, such as work or relationships, excessive sweating that began when you were younger than 24 years old, not sweating in your sleep, a family history of hyperhidrosis. […] If a doctor thinks you may have secondary hyperhidrosis, they may order several tests to help determine the underlying cause of your excessive sweating. […] A doctor may perform three tests to help determine the severity of your sweating: Starch-iodine test, Paper test, Thermoregulatory test. […] Speak with a doctor if you have excessive sweating. They could provide a proper diagnosis and develop a treatment plan for you.

• #17 How Hyperhidrosis Is Diagnosed

  https://www.verywellhealth.com/hyperhidrosis-diagnosis-4778629

  The diagnosing physician may look for stains on clothing to assess axillary (under the armpit) sweating. […] For diagnosing palmar (on the hand) hyperhidrosis, your healthcare provider may evaluate the severity of moisture on your hands during the physical exam. […] Diagnostic tests for hyperhidrosis focus on sweat tests. […] This test is helpful in diagnosing hyperhidrosis, particularly for detecting focal hyperhidrosis. […] This diagnostic test is used to measure the nerves that control sweating. […] Other tests that may be employed to measure the amount of sweat a person is experiencing including the use of gravimetry. […] When the diagnosis of hyperhidrosis is secondary generalized hyperhidrosis, the diagnosing physician may need to perform several other tests to discover the primary (underlying) cause of sweating.

• #18 Diagnosis and qualitative identification of hyperhidrosis – Nawrocki – Shanghai Chest

  https://shc.amegroups.org/article/view/5191/html

  Hyperhidrosis is a dermatologic disease defined as excessive sweating that exceeds thermoregulatory needs, and is estimated to affect at least 4.8% of the population. […] The diagnosis is partially determined and supported by objective quantitative tools, but is mainly identified by subjective accounts of patients regarding the extent of impact the excessive sweating has on their daily and general quality of life. […] Early diagnosis and proper treatment of PFHH are essential for minimizing its emotional, psychosocial, and physical effects. […] PFHH has distinguishable characteristics, allowing its diagnosis to be made solely on the medical history and physical examination. […] After establishing a diagnosis of PFHH, severity is determined. […] Various quantitative and qualitative methods are available to establish a diagnosis of HH, its severity, and the effect the condition has on a patients QoL.

• #19 Hyperhidrosis – 10 common questions about excessive sweating

  https://www.hidroxa.com/en/hyperhidrosis

  Clinicians closely examine the areas that are affected by sweating. Also examination to exclude secondary causes to the sweat problem. […] This test is not required for diagnosis, but it can help to outline the areas of sweating. Firstly, the iodine is applied to the skin, and then starch is sprinkled over iodine. If the sweat is present, it will cause the area to become purple-ish. […] To establish an underlying condition that is possibly causing sweating, clinicians can do different medical and lab tests. […] There are no blood tests or objective methods that can tell who is suffering from hyperhidrosis. The patient’s story is an important part, and sometimes, you can even see the sweating which strengthens the diagnosis, but it is not mandatory to get the diagnosis of hyperhidrosis. […] If you suffer from excessive sweating, especially if this is new to you, you seek medical advice.

• #20 Hyperhidrosis (excessive sweating)

  https://dermnetnz.org/topics/hyperhidrosis

  Hyperhidrosis is usually diagnosed clinically. Tests relate to the potential underlying cause of hyperhidrosis and are rarely necessary for primary hyperhidrosis. […] The precise site of localised hyperhidrosis can be revealed using the Minor test. […] Screening tests in secondary generalised hyperhidrosis depend on other clinical features but should include as a minimum: Blood sugar / glycosylated haemoglobin, Thyroid function.

• #21 Hyperhidrosis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459227/

  If a secondary cause is suspected, providers should consider ordering a complete blood count, basic metabolic panel, thyroid-stimulating hormone, sedimentation rate, antinuclear antibody, hemoglobin A1C, and chest x-ray. […] These tests assist in ruling out infection, kidney dysfunction, malignancy, diabetes mellitus, thyroid disease, an inflammatory disorder, or connective tissue disease, which can all be associated with hyperhidrosis. […] Most topical and nonsurgical treatments do not work reliably. Surgery can be done, but recurrences are not uncommon. Patients must be educated about all the potential treatments, including their effectiveness and associated morbidity.

• #22 CoxHealth | Excessive Sweating (Hyperhidrosis)

  https://www.coxhealth.com/condition/excessive-sweating-hyperhidrosis/

  Excessive sweating is when the body releases too much fluid from the sweat glands. Its also called hyperhidrosis. […] The symptoms of excessive sweating can be like other health conditions. Make sure to see your healthcare provider for a diagnosis. […] Your healthcare provider will ask about your symptoms and medical history. Your provider will give you a physical exam. You may also have tests, such as a blood test to check for thyroid problems.

• #23 Hyperhidrosis – Symptoms, diagnosis and treatment | BMJ Best Practice

  https://bestpractice.bmj.com/topics/en-gb/856

  Hyperhidrosis is an excess sweating condition beyond physiological need. […] It can be classified as primary and of unknown cause (idiopathic), or secondary due to an underlying condition (usually an infectious, endocrine, or neurological disorder). […] Primary hyperhidrosis may also be described as palmar, plantar, axillary, or craniofacial, each of which has its own clinical characteristics. […] Key diagnostic factors include the presence of risk 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, and generalised sweating. […] Investigations to consider include 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, chest x-ray, and CT scans.

• #24 Excessive Sweating (Hyperhidrosis): Causes and Treatments – K Health

  https://khealth.com/learn/symptom/excessive-sweating/

  Hyperhidrosis is a medical condition that causes a person to sweat excessively. […] A healthcare provider can determine if symptoms of increased sweating are due to primary hyperhidrosis or secondary hyperhidrosis. Testing may be needed in order to make a diagnosis. […] Some of the tests performed by your healthcare provider when secondary hyperhidrosis is suspected are: A complete blood count, A basic metabolic panel, A thyroid-stimulating hormone test, A sedimentation rate, An antinuclear antibody test. […] A starch-iodine test (also called the Minor test) is used to determine the areas of the body that are affected by primary hyperhidrosis. […] This is a simple, painless test that allows a clinician to actually see areas of increased sweating. This can help determine a specific treatment plan.

• #25 Hyperhidrosis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/symptoms-causes/syc-20367152

  Conditions that might cause it include: Diabetes, Menopause hot flashes, Thyroid problems, Some types of cancer, Nervous system disorders, Infections. […] Risk factors for hyperhidrosis include: Having a blood relative, such as a parent, sibling or grandparent, who sweats heavily. […] Complications of hyperhidrosis include: Infections. People who sweat a lot are more prone to skin infections. […] Your condition may affect your pursuit of work and educational goals.

• #26 Hyperhidrosis: Symptoms, Causes, Treatment

  https://www.health.com/condition/hyperhidrosis-overview

  Imaging tests can be important for hyperhidrosis. A healthcare provider may use an imaging test if they believe a tumor may be causing you to sweat excessively. […] The paper test is a way to measure how much sweat occurs. Higher amounts of sweat absorbed by the special paper make the paper feel heavier. […] With a starch-iodine test, a provider applies an iodine solution to the affected areas, allows it to dry, and sprinkles starch on the area. A dark blue to black color indicates an area with a high amount of sweat.

• #27 When to See a Hyperhidrosis Specialist: Diagnosis & Treatment | NY Metro Vein

  https://www.nymetrovein.com/blog/diagnosis-treatment-and-when-to-see-a-hyperhidrosis-specialist/

  If you suspect you have this condition, the first step is to turn to a doctor who specializes in hyperhidrosis to get an official diagnosis. At the consultation with your doctor, you must fully account for your medical history and any medications you take. You will then receive a physical examination and some tests to see the cause of the hyperhidrosis. […] One type of test for hyperhidrosis is an iodine-starch test. The specialist will apply an iodine solution to the area where you sweat excessively and spread starch over it. If the solution turns dark blue, then you have hyperhidrosis. […] Another test is the paper test. Your doctor will place a special paper over the targeted areas and then weigh that paper to see how much you sweat. […] The specialist can also turn to blood and imaging tests to see if the condition has underlying causes, like hypoglycemia or hyperthyroidism.

• #28 Hyperhidrosis: Symptoms, causes, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/182130

  Hyperhidrosis is a condition characterized by excessive sweating. […] A 2020 review suggests that hyperhidrosis may also currently be underdiagnosed and underreported. […] Initially, doctors may ask about a persons sweating patterns, including which body parts it affects, and how often and when sweating episodes occur. […] They may try to rule out any underlying conditions that could cause secondary hyperhidrosis by ordering certain tests, such as blood tests or imaging tests. […] A visual assessment is usually enough for a doctor to diagnose a person with excessive sweating. However, in some cases, they may also request a starch-iodine test.

• #29 Diagnosis Guidelines for Hyperhidrosis – Focus on Hyperhidrosis

  https://www.medpagetoday.com/resource-centers/focus-hyperhidrosis/diagnosis-guidelines-hyperhidrosis/2073

  The approach to diagnosis of primary hyperhidrosis (Hh) starts with using one or more methods of assessment of severity of sweating. Practical, qualitative, and quantitative methods are available to aid the physician in confirming the diagnosis. A logical approach to making a clinical diagnosis is presented, along with a diagnostic algorithm outlining this approach. […] During the evaluation of a patient with primary hyperhidrosis, it is sometimes necessary to assess the rate of sweat production, the specific areas involved, and the effect of the condition on the patient’s quality of life, psycho-social wellness, and daily activities. […] If visible sweating is possible to observe: […] A quantitative approach to assessing severity is gravimetric measurement, which can be done on the palm and in the axilla.

• #30 What Doctor Should You See For Hyperhidrosis? – Thompson Tee

  https://thompsontee.com/blog/should-you-see-a-hyperhidrosis-doctor/?srsltid=AfmBOor_U78N-LUOb1ABgjVfTkgqpffDGX8SFc6DFzk_QhGbUrPAq46l

  If over-the-counter antiperspirants and prescription options dont work, your doctor may refer you to a dermatologist. […] Some clinics in the U.S. are devoted to the treatment and management of hyperhidrosis. […] If you have severe hyperhidrosis, your dermatologist may refer you to a neurologist. […] Surgery for hyperhidrosis should be a last resort. […] To find the right treatment, your doctor will ask for details about your sweating. […] Depending on the severity of your sweating, your doctor may also order tests. […] Your doctor may order blood tests to check for secondary hyperhidrosis, excessive sweating caused by another medical condition. […] This is a diagnostic test that evaluates the volume of sweat your body produces. […] This test measures your ability to sweat in a specialized laboratory with controlled temperature, airflow regulation and humidity. […] This test measures variations in the skin’s electrical characteristics due to emotional and sympathetic responses. […] Some hyperhidrosis treatments can be costly, so its imperative you know when you might need to foot the bill.

• #31

  https://duradry.com/blogs/hyperhidrosis/how-do-doctors-diagnose-hyperhidrosis?srsltid=AfmBOopDXYNzLQeNX-Hn6LpBr9t0oWYoiGiCe9Vn2FkuzbuoM_rzLRTg

  Thermoregulatory sweat testing, or TST, works much the same way. Patients are placed in a temperature-controlled room. A color-changing indicator powder is placed on the skin. The temperature in the room is gradually raised. As the patient starts to sweat, their skin pH changes and interacts with the powder, turning it into a dye that temporarily stains the skin. […] As you can see, determining why exactly hyperhidrosis occurs is not a perfect science, but there are tests available to help put you on the path toward symptom management.

• #32 Hyperhidrosis – Types | Symptoms | Causes | Diagnosis | Treatment

  https://www.icliniq.com/articles/neurological-health/hyperhidrosis

  How Does the Doctor Diagnose Hyperhidrosis? […] If someone feels like they sweat a lot without any apparent reason, they should see a doctor. To determine what causes these sweating episodes, the doctor will question patients about their medical history, symptoms, and other issues during the session. The physician will next advise them to undergo additional tests if necessary: […] Blood and Urine Tests – These tests are done to rule out all other medical conditions that can result in similar symptoms, such as hyperthyroidism. […] Thermoregulatory Sweat Test – Here, a moisture-sensitive powder is applied to the skin, and when one sweats, the color of the powder changes. Peoples palms and soles, who do not have hyperhidrosis do not sweat when exposed to heat. But hyperhidrosis patients do. […] Other tests, such as the iodine-starch and skin conductance tests, are also used.

• #33 Hyperhidrosis: Management Options | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0601/p729.html

  Laboratory testing is not necessary unless history and physical examination suggest a secondary cause. […] Hyperhidrosis negatively impacts daily life, especially emotional well-being, self-esteem, interpersonal relationships, and occupational productivity. […] The Hyperhidrosis Disease Severity Scale (HDSS) is a validated single-question survey with four grades of tolerability of sweating and impact on quality of life. This survey can estimate the effect on daily activities and response to treatment. […] Disease severity should be measured using the HDSS. Treatment success is defined as a decrease in the HDSS score. Most treatment recommendations are based on expert consensus, because the evidence is poor.

• #34 Hyperhidrosis – an unknown widespread „silent” disorder

  https://www.jneurology.com/articles/hyperhidrosis–an-unknown-widespread-silent-disorder.html

  A major American study shows that 2.8 % of the population suffers from hyperhidrosis. […] In most cases, it is easy to exclude or diagnose secondary hyperhidrosis without taking samples and performing examinations. […] Hyperhidrosis has an extremely negative impact on quality of life. […] With validated instruments such as DLQI to measure quality of life, the patients suffering can be objectivised, treatments can be assessed and results can be related to other diseases. […] Secondary hyperhidrosis may involve several specialties. […] A small amount of anamnestic data is usually enough to differentiate between primary and secondary hyperhidrosis, but sometimes anamnesis and status in diagnostics are insufficient and that is when it becomes relevant to take samples and do further examinations.

• #35 Diagnosis and Management of Primary Hyperhidrosis: Practical Guidance and Current Therapy Update – JDDonline – Journal of Drugs in Dermatology

  https://jddonline.com/articles/diagnosis-and-management-of-primary-hyperhidrosis-practical-guidance-and-current-therapy-update-S1545961620P0704X

  Hyperhidrosis is a chronic medical condition characterized by excessive sweating beyond that which is necessary for thermoregulatory homeostasis. […] Approximately half of those who self-identify as having excessive sweating do not discuss their symptoms with healthcare professionals despite the severe negative impact on their quality of life; reasons for this include the misconception that hyperhidrosis is not a medical condition and that no treatments exist. […] In one study, only half of patients who reported their symptoms to a healthcare professional were ultimately diagnosed with primary hyperhidrosis, which may reflect a reality of widespread underdiagnosis of the condition. […] In a survey conducted by the International Hyperhidrosis Society (IHhS), 48.9% of patients waited 10 or more years before seeking medical help for their excessive sweating.

• #36 Excessive Sweating (Hyperhidrosis): Signs, Treatment & Causes

  https://www.medicinenet.com/hyperhidrosis/article.htm

  How do healthcare professionals diagnose hyperhidrosis? The diagnosis is made clinically based on a patient’s history and physical examination. If the sweating is excessive and constant, then the diagnosis is obvious. It is not unusual that one must rely on the patient’s history to determine the diagnosis. Research centers measure sweat production by comparing the weight of filter paper left on the skin for a specified interval before and after sweating. […] Dermatologists are physicians specialized in diagnosing and treating skin conditions. Dermatologists diagnose and treat this condition.

• #37 Hyperhidrosis Treatments | Valley Health System

  https://www.valleyhealth.com/services/hyperhidrosis-center/hyperhidrosis-treatments

  The diagnosis and treatment of excessive sweating depends on the type of hyperhidrosis and the area affected: […] Those with secondary generalized hyperhidrosis (caused by a medical condition) should be evaluated by a dermatologist. […] Your doctor will determine what is the best treatment method for you based on the type of hyperhidrosis you suffer from, your age, and your general medical condition. […] There are no medications for the specific treatment of primary hyperhidrosis. […] Endoscopic thoracic sympathectomy (ETS) is a minimally invasive surgical procedure used to treat hyperhidrosis. […] Botox injections work best for armpit sweating (axillary hyperhidrosis), but not palm sweating, facial hyperhidrosis or facial blushing. […] Very severe armpit sweating (axillary hyperhidrosis) may need to be treated with permanent surgical removal of the sweat glands by a plastic surgeon.

• #38 Diagnosis and treatment for pediatric hyperhidrosi

  https://care.choc.org/diagnosis-and-treatment-for-pediatric-hyperhidrosis/

  Dr. Troy Reyna, pediatric general and thoracic surgeon at CHOC, has vast experience in performing innovative treatments for Hirschsprung’s disease, pectus excavatum and hernias. However, Dr. Reyna considers hyperhidrosis surgeries among his most fulfilling work. […] In a recent talk for CHOC’s Grand Rounds, Dr. Reyna gave advice to community pediatric physicians on the symptoms, referral process and treatments for hyperhidrosis. […] Hyperhidrosis is an excess of sympathetic discharge that affects and can increase the sweating of hands, feet, axilla and other areas, says Dr. Reyna. […] Symptoms must be present for greater than 6 months for a diagnosis. […] There are two types of hyperhidrosis: primary and secondary, says Dr. Reyna. […] Primary hyperhidrosis can put a social and emotional burden on children and adolescents even from a young age, says Dr. Reyna.

• #39 Diagnosis Guidelines – International Hyperhidrosis Society | Official Site

  https://www.sweathelp.org/about-hyperhidrosis/diagnosis-guidelines.html

  There are two types of hyperhidrosis (Hh): primary and secondary. […] Ruling out secondary hyperhidrosis (or responding to secondary Hh appropriately) is the first step in Hh management. […] After this has been done, a diagnosis of primary (or idiopathic) Hh can be solidified using the ABCs. […] For a primary Hh diagnosis, look for excessive sweating symptoms or episodes (2 or more per week) that started 6+ months ago and appear to be chronic. […] Most sufferers will experience episodes of varying frequency, length and degree. […] 2/3rds of primary Hh sufferers indicate other family members have Hh, too. […] Hh, however, gets in the way of sufferers ability to function, participate in school and athletics, work comfortably and at their fullest potential, have fun, pursue dreams, develop relationships, and more.

• #40 Diagnosis Guidelines for Hyperhidrosis – Focus on Hyperhidrosis

  https://www.medpagetoday.com/resource-centers/focus-hyperhidrosis/diagnosis-guidelines-hyperhidrosis/2073

  In summary, although the Hh diagnosis can usually be made on the basis of history and observed excessive sweating, gravimetric measurement may also provide a quantitative assessment. […] Given the potential for overlap in sweating rates between patients with hyperhidrosis and healthy controls, it is important to gauge the severity of social embarrassment and the effects on quality of life and impairment of daily activities in order to plan treatment, especially if more than one area is involved.

• #41 Hyperhidrosis (Excessive Sweating) / Night Sweats : Differential Diagnosis | Time of Care

  https://www.timeofcare.com/hyperhidrosis-excessive-sweating-night-sweats-differential-diagnosis/

  Primary Focal Hyperhidrosis vs. Generalized hyperhidrosis. The differential diagnosis for generalized hyperhidrosis is similar to the differential diagnosis of night sweats. Here are some health conditions that may cause excessive sweating. […] The differential diagnosis for generalized hyperhidrosis is similar to the differential diagnosis of night sweats. […] The differential diagnosis for generalized hyperhidrosis is similar to the differential diagnosis of night sweats.

• #42 Diagnosis and qualitative identification of hyperhidrosis – Nawrocki – Shanghai Chest

  https://shc.amegroups.org/article/view/5191/html

  Quantitative measurements for sweat production are not frequently performed in routine clinical practice but may assist in establishing the diagnosis or guiding therapeutic measures. […] HH is commonly determined in qualitative terms. Any amount that substantially interferes with an individuals QoL and affects his/her daily life is determined to be abnormal sweating. […] The scoring systems used in questionnaires are subjective, reflecting a bias in data collection. […] Impact on QoL has evolved to be the most valuable and essential evaluation modality for PFHH. […] Although the diagnosis of HH is commonly based on subjective testimonies from HH patients, various quantitative and qualitative measurement tools are available to identify the disease, grade its severity, and provide appropriate and prompt treatment.

• #43 Generalised Hyperhidrosis |

  https://sydneynorthneurology.com.au/generalised-hyperhidrosis/

  Generalised hyperhidrosis refers to hyperhidrosis affecting the entire body. It is also known as secondary hyperhidrosis as it typically arises secondary to other medical conditions, predominately endocrinological (hormone-related) and infectious disorders. […] When diagnosing generalised hyperhidrosis, the doctor will ask questions about sweating, for example how often it occurs and when it began, to determine whether or not the sweating is excessive, and to differentiate between focal and generalised hyperhidrosis. […] Following a diagnosis of generalised or secondary hyperhidrosis, further tests are used to diagnose the underlying medical condition/s, as treating these conditions is the only way to reduce the excessive sweating. […] The doctor may also wish to conduct tests to ensure the underlying condition is correctly diagnosed. The choice of tests depends on the condition suspected to be causing excessive sweating. […] Generalised hyperhidrosis typically resolves when the underlying condition is treated. […] Because generalised hyperhidrosis usually arises secondary to a medical condition, investigation and treatment of the underlying condition is the first step in the management process.

• #44 Hyperhidrosis: Types, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis

  A healthcare provider will have the most up-to-date information about the possible side effects of the treatment they offer. Make sure you discuss with your provider the possible side effects before starting treatment. […] You may feel better immediately after you begin treatment, or it may take a few weeks to months before you notice any changes to your symptoms. The timeline for each type of treatment varies. Your provider can let you know what to expect with each type of treatment option. […] Not all cases of hyperhidrosis are preventable. For example, you cant prevent focal hyperhidrosis since it may have a genetic cause. If you have generalized hyperhidrosis, managing or treating any underlying health conditions can help. […] While hyperhidrosis has no cure, there are a variety of treatment options available to help you manage your symptoms.

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