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Student Education

10 Minute consultation: Hyperhidrosis

BMJ 2005; 330 doi: https://doi.org/10.1136/sbmj.0506233 (Published 01 June 2005) Cite this as: BMJ 2005;330:0506233
  1. Jo Piercy, clinical lecturer1
  1. 1Division of Medical Education, Warwick Medical School, University of Warwick, Coventry CV4 7AL

A 26 year old woman presents with excessive sweating, which she says embarrasses her socially and at work. Sometimes her hands literally drip with sweat, making work involving writing difficult. Concerned to conceal her excessive axillary sweating, she is self conscious and particular about her clothing. She asks what help you can give her.

What issues you should cover

Location - Explore and identify the exact locations of the sweating. Possibilities include excessive facial flushing and sweating and axillary, palmar, groin, and plantar hyperhidrosis.

Severity - How disabling is the problem? Explore the effects on her emotional wellbeing and daily social life.

Exclude physiological and psychological causes - Consider other causes, such as hypoglycaemia or …

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