{"id":8114,"date":"2020-04-27T05:38:15","date_gmt":"2020-04-27T08:38:15","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/hiperhidrosis-2\/"},"modified":"2020-04-27T14:40:47","modified_gmt":"2020-04-27T17:40:47","slug":"hyperhidrosis-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/","title":{"rendered":"Hyperhidrosis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Que-es-hiperhidrosis\" >What is hyperhidrosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Hiperhidrosis-de-palmas-y-plantas\" >Hyperhidrosis of palms and soles.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFQuien-contrae-hiperhidrosis\" >Who gets hyperhidrosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFQue-causa-la-hiperhidrosis\" >What causes hyperhidrosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-hiperhidrosis\" >What are the clinical features of hyperhidrosis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Hiperhidrosis-primaria\" >primary hyperhidrosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Hiperhidrosis-secundaria\" >Secondary hyperhidrosis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFCual-es-el-impacto-de-la-sudoracion-excesiva\" >What is the impact of excessive sweating?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Hiperhidrosis-axilar\" >Axillary hyperhidrosis<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Hiperhidrosis-axilar-2\" >Axillary hyperhidrosis<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#De-la-palma-hiperhidrosis\" >Palm hyperhidrosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Plantar-hiperhidrosis\" >Plantar hyperhidrosis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFComo-se-diagnostica-la-hiperhidrosis\" >How is hyperhidrosis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFCual-es-el-tratamiento-de-la-hiperhidrosis\" >What is the treatment of hyperhidrosis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Medidas-generales\" >General measures<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Actual-antitranspirantes\" >Current antiperspirants<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Iontoforesis\" >Iontophoresis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Medicamentos-orales\" >Oral medications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Botulinum-toxina-inyecciones\" >botulinum toxin injections<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Extraccion-quirurgica-de-las-glandulas-sudoriparas-axilares\" >Surgical removal of the axillary sweat glands.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Simpatectomia\" >Sympathectomy<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#%C2%BFCual-es-el-pronostico-para-la-hiperhidrosis\" >What is the prognosis for hyperhidrosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hiperhidrosis-2\/#Futuros-tratamientos-para-la-hiperhidrosis\" >Future treatments for hyperhidrosis.<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-hiperhidrosis\"><\/span>What is it <span class=\"term\" data-term-id=\"1928\">hyperhidrosis<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperhidrosis is the name given to excessive and uncontrollable sweating.<\/p>\n<p>Sweat is a weak salt. <span class=\"term\" data-term-id=\"1119\">solution<\/span> produced by the <span class=\"term\" data-term-id=\"844\">eccrine<\/span> sweat glands. These are distributed throughout the body, but are most numerous on the palms and soles (with approximately 700 glands per square centimeter).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Hiperhidrosis-de-palmas-y-plantas\"><\/span>Hyperhidrosis of palms and soles.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hyper1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1958678-6940986' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hyper1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1958678.jpg'>\n<\/div>\n<p class=\"p-small\">hyperhidrosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hyperhidrosis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4953393-1808122' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hyperhidrosis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4953393.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hyperhidrosis4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2378177-5583321' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hyperhidrosis4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2378177.jpg'>\n<\/div><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-hiperhidrosis\"><\/span>Who gets hyperhidrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"949\">Primary<\/span> Hyperhidrosis is reported to affect 1\u20133% of the US population and almost always begins during childhood or adolescence. The tendency may be inherited, and is reported to be particularly <span class=\"term\" data-term-id=\"1676\">predominant<\/span> in the japanese<\/p>\n<p>Secondary hyperhidrosis is less common and can occur at any age.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-hiperhidrosis\"><\/span>What causes hyperhidrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Primary hyperhidrosis appears to be due to hyperactivity of the <span class=\"term\" data-term-id=\"1358\">hypothalamic<\/span> thermoregulatory center in the brain and is transmitted through the <span class=\"term\" data-term-id=\"1779\">sympathetic nervous system<\/span> to the eccrine sweat gland.<\/p>\n<p>Triggers for sweating attacks can include:<\/p>\n<ul>\n<li>hot weather<\/li>\n<li>Exercise<\/li>\n<li><span class=\"term\" data-term-id=\"1176\">Fever<\/span><\/li>\n<li>Anxiety<\/li>\n<li>The spicy food<\/li>\n<\/ul>\n<p>secondary causes <span class=\"term\" data-term-id=\"324\">located<\/span> Hyperhidrosis includes:<\/p>\n<ul>\n<li>The auriculotemporal <span class=\"term\" data-term-id=\"350\">syndrome<\/span> (<span class=\"term\" data-term-id=\"1359\">gustatory<\/span> hyperhidrosis)<\/li>\n<li>Race<\/li>\n<li>spinal nerve damage<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1374\">Peripheral<\/span> nerve damage, when it may be associated with <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> <span class=\"term\" data-term-id=\"843\">dysesthesia<\/span>\n<\/li>\n<li>Surgical <span class=\"term\" data-term-id=\"1786\">sympathectomy<\/span>\n<\/li>\n<li><span class=\"term\" data-term-id=\"400\">Neuropathy<\/span><\/li>\n<li>A brain <span class=\"term\" data-term-id=\"289\">tumor<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"319\">Chronic<\/span> anxiety disorder<\/li>\n<\/ul>\n<p>secondary causes <span class=\"term\" data-term-id=\"308\">generalized<\/span> Hyperhidrosis includes:<\/p>\n<ul>\n<li>Obesity<\/li>\n<li>Diabetes<\/li>\n<li>Menopause<\/li>\n<li>overactive thyroid<\/li>\n<li>cardiovascular disorders<\/li>\n<li>Respiratory insufficiency<\/li>\n<li>Other <span class=\"term\" data-term-id=\"1196\">endocrine<\/span> tumors, such as pheochromocytoma\n<\/li>\n<li>Parkinson&#039;s disease<\/li>\n<li>Hodgkin <span class=\"term\" data-term-id=\"976\">lymphoma<\/span><\/li>\n<li>\n<p>Drugs: alcohol, caffeine, corticosteroids, cholinesterase inhibitors, tricyclic antidepressants, selective serotonin reuptake inhibitors, nicotinamide, and opioids.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-hiperhidrosis\"><\/span>What are the clinical features of hyperhidrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperhidrosis can be localized or generalized.<\/p>\n<ul>\n<li>Localized hyperhidrosis affects the armpits, palms, soles, face, or other sites.<\/li>\n<li>Generalized hyperhidrosis affects most or all of the body.<\/li>\n<\/ul>\n<p>It can be primary or secondary.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Hiperhidrosis-primaria\"><\/span>primary hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>It begins in childhood or adolescence.<\/li>\n<li>It may persist throughout life or improve with age.<\/li>\n<li>There may be a family history<\/li>\n<li>Tends to involve armpits, palms, and\/or soles symmetrically<\/li>\n<li>Sweating usually reduces at night and disappears during sleep.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Hiperhidrosis-secundaria\"><\/span>Secondary hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Less common than primary hyperhidrosis<\/li>\n<li>It is more likely to be <span class=\"term\" data-term-id=\"292\">unilateral<\/span> and <span class=\"term\" data-term-id=\"16\">asymmetric<\/span>or generalized<\/li>\n<li>It can occur at night or during sleep.<\/li>\n<li>Due to endocrine or <span class=\"term\" data-term-id=\"402\">neurological <\/span>conditions or drugs\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-impacto-de-la-sudoracion-excesiva\"><\/span>What is the impact of excessive sweating?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperhidrosis is embarrassing and interferes with many daily activities.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Hiperhidrosis-axilar\"><\/span>Axillary hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Clothes get wet, stain and need to be changed several times a day.<\/li>\n<li>Moist skin folds are prone to irritation, <span class=\"term\" data-term-id=\"1168\">irritating<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> and <span class=\"term\" data-term-id=\"145\">infection<\/span>\n<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Hiperhidrosis-axilar-2\"><\/span>Axillary hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hyperhidrosis5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7908889-6064439' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hyperhidrosis5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7908889.jpg'>\n<\/div><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"De-la-palma-hiperhidrosis\"><\/span>\n<span class=\"term\" data-term-id=\"585\">Palm<\/span> hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Slippery hands prevent handshake.<\/li>\n<li>Marks left on paper and fabrics<\/li>\n<li>Difficulty writing perfectly<\/li>\n<li>Malfunction of electronic equipment such as keyboards and trackpads<\/li>\n<li>Prone to a blistering type of hand dermatitis (pompholyx)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Plantar-hiperhidrosis\"><\/span>\n<span class=\"term\" data-term-id=\"588\">Plant<\/span> hyperhidrosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>It affects the soles of the feet.<\/li>\n<li>Unpleasant smell<\/li>\n<li>ruined footwear<\/li>\n<li>Prone to a type of bullous dermatitis (pompholyx)<\/li>\n<li>Prone to secondary infection (tinea pedis, boneless keratolysis)<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-hiperhidrosis\"><\/span>How is hyperhidrosis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hyperhidrosis is usually diagnosed clinically. Testing is related to the possible underlying cause of hyperhidrosis and is rarely necessary for primary hyperhidrosis.<\/p>\n<p>The precise site of localized hyperhidrosis can be revealed using the Minor test.<\/p>\n<ul>\n<li>Iodine (orange) is painted onto the skin and air dried.<\/li>\n<li>The starch (white) is sprinkled on top of the iodine.<\/li>\n<li>Sweating is revealed by a dark blue\/black color change.<\/li>\n<\/ul>\n<p>Screening tests for secondary generalized hyperhidrosis depend on other clinical features, but should include at a minimum:<\/p>\n<ul>\n<li>Blood sugar \/ glycosylated <span class=\"term\" data-term-id=\"1205\">hemoglobin<\/span>\n<\/li>\n<li>Thyroid function<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-de-la-hiperhidrosis\"><\/span>What is the treatment of hyperhidrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Medidas-generales\"><\/span>General measures<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Wear loose-fitting, stain-resistant, sweat-proof clothing.<\/li>\n<li>Change clothing and shoes when wet.<\/li>\n<li>Socks that contain silver or copper reduce infection and odor.<\/li>\n<li>Use absorbent inserts in shoes and replace them often.<\/li>\n<li>Use a soap-free cleanser.<\/li>\n<li>Apply corn starch <span class=\"term\" data-term-id=\"1127\">dust<\/span> after bath.<\/li>\n<li>Avoid foods and drinks with caffeine.<\/li>\n<li>Discontinue any medications that may be causing hyperhidrosis.<\/li>\n<li>Apply antiperspirant.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Actual-antitranspirantes\"><\/span>\n<span class=\"term\" data-term-id=\"1330\">Current<\/span> antiperspirants<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Deodorants are fragrances or antiseptics to disguise unpleasant odors; By themselves, they do not reduce perspiration.<\/li>\n<li>\n<p>Antiperspirants contain 10-25% aluminum salts to reduce sweating; \u201cClinical strength\u201d aluminum zirconium salts are more effective than aluminum chloride. <\/li>\n<li>Topical anticholinergics such as glycopyrrolate and oxybutynin. <span class=\"term\" data-term-id=\"1123\">gel<\/span> have been successful in reducing sweating; Wipes containing glycopyrronium tosylate (Qbrexza\u2122) were approved by the FDA in July 2018 for axillary hyperhidrosis in adults and children 9 years of age and older. Powder is available that contains the anticholinergic drug, 2% diphemanil.<\/li>\n<li>Antiperspirants are available as <span class=\"term\" data-term-id=\"1121\">cream<\/span>aerosol <span class=\"term\" data-term-id=\"1126\">spray<\/span>, stick, roll-on, wipe, powder and paint.<\/li>\n<li>Specific products are available for different body sites, such as armpits, other skin folds, face, hands and feet.<\/li>\n<li>They are best applied when the skin is dry, after a cold shower just before bed.<\/li>\n<li>Wash in the morning if it tends to irritate.<\/li>\n<li>Use once a week to daily if needed.<\/li>\n<li>If irritating, apply short-term hydrocortisone cream.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Iontoforesis\"><\/span>Iontophoresis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>Iontophoresis is used for hyperhidrosis of the palms, soles and armpits.<\/li>\n<li>Main and battery powered units are available.<\/li>\n<li>The affected area is immersed in water or, with a more significant effect, in glycopyrronium solution.<\/li>\n<li>A mild electrical current is passed through the surface of the skin for 10-20 minutes.<\/li>\n<li>Repeated daily for several weeks, then less frequently as needed<\/li>\n<li>Iontophoresis may cause discomfort, irritation, or irritant contact dermatitis.<\/li>\n<li>Treatment requires a long-term commitment.<\/li>\n<li>It is not always effective.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Medicamentos-orales\"><\/span>Oral medications<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Oral anticholinergic drugs<\/p>\n<ul>\n<li>Available medications are propantheline 15 to 30 mg up to three times daily, oxybutynin 2.5 to 7.5 mg daily, benztropine, glycopyrrolate (unapproved).<\/li>\n<li>They can cause dry mouth and, less commonly, blurred vision, constipation, dizziness, palpitations, and other side effects.<\/li>\n<li>People with <span class=\"term\" data-term-id=\"975\">glaucoma<\/span> or urinary retention should not take them.<\/li>\n<li>Caution in elderly patients: an increased risk of side effects, including dementia, is reported.<\/li>\n<li>Oral anticholinergics can interact with other medications.<\/li>\n<\/ul>\n<p>Beta blockers<\/p>\n<ul>\n<li>Beta blockers block the physical effects of anxiety.<\/li>\n<li>They can aggravate asthma or peripheral symptoms. <span class=\"term\" data-term-id=\"753\">vascular<\/span> disease.<\/li>\n<\/ul>\n<p>Calcium channel blockers, alpha-adrenergic agonists (clonidine) non-steroidal anti-steroids<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> Drugs and anxiolytics may also be helpful for some patients.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Botulinum-toxina-inyecciones\"><\/span>Botulinum <span class=\"term\" data-term-id=\"1921\">toxin<\/span> injections<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>Botulinum toxin injections are approved for hyperhidrosis affecting the armpits.<\/li>\n<li>The injections reduce or stop sweating for three to six months.<\/li>\n<li>Botulinum <span class=\"term\" data-term-id=\"1922\">toxins<\/span> they are used without a license for localized hyperhidrosis in other sites, such as the palms.<\/li>\n<li>Botulinum toxin topical gel is under investigation for hyperhidrosis.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Extraccion-quirurgica-de-las-glandulas-sudoriparas-axilares\"><\/span>Surgical removal of the axillary sweat glands.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Overactive sweat glands in the armpits can be removed by various methods, usually under <span class=\"term\" data-term-id=\"1206\">anesthetic<\/span>.<\/p>\n<ul>\n<li>Tumescent liposuction (suctioning them out)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"900\">Subcutaneous<\/span> curettage (scrape them)<\/li>\n<li>Microwave thermolysis (the MiraDry\u00ae system approved by the FDA in 2011)<\/li>\n<li>Subdermal Nd:YAG <span class=\"term\" data-term-id=\"1617\">To be<\/span>\n<\/li>\n<li>High intensity microfocus <span class=\"term\" data-term-id=\"1378\">ultrasound<\/span> (experimental)<\/li>\n<li>Surgery to cut the skin of the armpits with sweat glands. If a large area needs to be removed, it can be repaired with a skin graft\n<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Simpatectomia\"><\/span>Sympathectomy<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Sympathetic spinal division. <span class=\"term\" data-term-id=\"952\">nerves<\/span> by chemical or surgical <span class=\"term\" data-term-id=\"1552\">endoscopic<\/span> Thoracic sympathectomy (TSD) can reduce facial sweating (T2 <span class=\"term\" data-term-id=\"478\">ganglion<\/span>) or armpit and hand (T3 or T4 node) but is reserved for the most severely affected people due to possible risks and complications.<\/p>\n<ul>\n<li>Hyperhidrosis can recur in up to 15% cases.<\/li>\n<li>Sympathectomy is often accompanied by undesirable warmth and dryness of the skin.<\/li>\n<li>New-onset hyperhidrosis of other sites occurs in 50 to 90% patients and is severe in 2%. It is reported to be less common after T4 ganglion sympathectomy compared to T2 ganglion sympathectomy.<\/li>\n<li>Serious complications include Horner&#039;s syndrome, pneumothorax (in up to 10%), pneumonia, and persistent pain (in less than 2%).<\/li>\n<\/ul>\n<p>Lumbar sympathectomy is not recommended for hyperhidrosis affecting the feet, as it may interfere with sexual function.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-la-hiperhidrosis\"><\/span>What is the prognosis for hyperhidrosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Localized primary hyperhidrosis tends to improve with age. The prognosis for localized or generalized secondary hyperhidrosis depends on the cause.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Futuros-tratamientos-para-la-hiperhidrosis\"><\/span>Future treatments for hyperhidrosis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Several research projects are underway to find safer and more effective treatments for hyperhidrosis. These include:<\/p>\n<ul>\n<li>DRM04 topical anticholinergic<\/li>\n<li>Combination of oxybutynin and pilocarpine (to counteract the adverse effects of the anticholinergic, oxybutynin) THVD-102<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es hiperhidrosis? Hiperhidrosis es el nombre dado a la sudoraci\u00f3n excesiva e incontrolable. El sudor es una sal d\u00e9bil. soluci\u00f3n producido por el ecrino gl\u00e1ndulas sudor\u00edparas. Estos se distribuyen&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8114","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8114"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8114\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8114"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8114"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}