What Can Cause Excessive Sweating On The Head?

• What is the treatment for excessive sweating of the head?

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CLINICAL PEARLS

• The main patient complaints with a primary hyperhidrosis are embarrassment and social isolation. However, when antiperspirant therapy is in place, patients also complain about dryness and irritation under the armpits.

• Excessive axillary sweating can be caused by an autonomic nervous system dysfunction or a pheochromocytoma. This condition may be difficult to treat but should not mimic other conditions such as thyrotoxicosis or catecholamine-secreting tumors (i.e., adrenal adenomas).

REFERENCES

1. Dormann C, Metzger V, Hinterhuber M: Hyperhidrosis: pathophysiology and diagnosis—a review of 50 cases followed up over 20 years at a hospital for hyperhidrosis clinic Zurich/Zurich University Hospital Basel/Basel, Switzerland. J Eur Acad Dermatol Venereol 16(6):735–745; 2002 Dec-Jan [Epub ahead of print]. PubMed PMID: 12480075; PubMed Central PMCID: PMC1239356 . Review Article 2. Etin ES, Pitman KA: Mechanism of sweat glands regulation by sympathetic nerves [see comments]. Physiol Rev 77(2):403–439; 1997 May-Jun

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