Abstract
Primary focal hyperhidrosis of the axillae (axillary hyperhidrosis) is a prevalent condition that affects quality of life. It has a genetic component and usually occurs during puberty and worsens with stress, exercise, and high external temperature. Classically, the dermatological treatments are topical (antiperspirants with aluminum chloride and glycopyrrolate 2%), injectable (botulinum toxin), or systemic (oral anticholinergics, β-blockers, benzodiazepines, and clonidine). Recently, new drugs and technologies have emerged for the treatment of axillary hyperhidrosis, such as oxybutynin gel, botulinum toxin for transdermal application, microwave energy thermolysis, radiofrequency applied with micro-needles, lasers, and microfocused ultrasound. These treatments are discussed in detail in this chapter. Bromhidrosis is a condition more common in men after puberty and is caused by the increased secretion of the sweat glands associated with local bacterial proliferation. The treatment includes local hygiene, antiseptic soap, antiperspirant, and topical antibiotics. In addition, epilation and reduction of local sweat can be performed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Clerico C, Fernandez J, Camuzard O, Chignon-Sicard B, Ihrai T. Axillary hyperhidrosis, botulinium a toxin treatment: review. Ann Chir Plast Esthet. 2016;61(1):60–4.
Fujimoto T. Pathophysiology and treatment of hyperhidrosis. Curr Probl Dermatol. 2016;51:86–93.
Grabell DA, Hebert AA. Current and emerging medical therapies for primary hyperhidrosis. Dermatol Ther (Heidelb). 2017;7(1):25–36.
Kurta AO, Glaser DA. Emerging nonsurgical treatments for hyperhidrosis. Thorac Surg Clin. 2016;26(4):395–402.
Semkova K, Gergovska M, Kazandjieva J, Tsankov N. Hyperhidrosis, bromhidrosis, and chromhidrosis: fold (intertriginous) dermatoses. Clin Dermatol. 2015;33(4):483–91.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Vasconcelos, R., Sanches, J.A. (2018). Axillary Hyperhidrosis and Bromhidrosis: The Dermatologist’s Point of View. In: Loureiro, M., Campos, J., Wolosker, N., Kauffman, P. (eds) Hyperhidrosis. Springer, Cham. https://doi.org/10.1007/978-3-319-89527-7_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-89527-7_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-89526-0
Online ISBN: 978-3-319-89527-7
eBook Packages: MedicineMedicine (R0)