Focal Hyperhidrosis What is focal hyperhidrosis?

Focal, or primary hyperhidrosis (excessive sweating) can be present in patients with sympathetic hyperactivity. Patients afflicted with this disorder can exhibit severe sweating of the hands, underarms and feet, which can be so debilitating that it can affect job performance and a patient’s social well-being. Severe focal hyperhidrosis may affect as much as 3% of the population, appears to be genetically related and is not part of the body’s normal temperature regulation. Unfortunately, in patients with a severe case, topical ointments and treatments with iontophoresis devices are unlikely to be effective.

Wet Hand What are the symptoms of focal hyperhidrosis?

Symptoms include: sweaty palms and/or soles of the feet; sweaty armpits; a change in the amount of sweating; a change in the pattern of sweating; or a change in the odor produced during sweating.

What are the risk factors for focal hyperhidrosis?

This is a genetic disorder.

What tests can I expect?

There are no specific tests for focal hyperhidrosis. However, your doctor may recommend a starch-iodine test on your armpits to determine the areas of the most active sweat glands. If your doctor suspects a particular underlying medical condition, he or she will order appropriate tests.

sympathectomy What are my treatment options?

Treatment options include: lifestyle changes, such as frequent clothing changes and more careful washing of your body; topical ointments and treatments with iontophoresis devices are unlikely to be effective; botulinum toxin infections, which may be effective in some patients especially those with axillary sweat. However the duration of effect is limited and repeat treatments are the norm.

MINIMALLY INVASIVE TECHNIQUES

Endoscopic thoracic sympathectomy (ETS)
In select patients, especially those with severe palm sweat or combinations of other areas with palm sweat, ETS is the preferred method of treatment. This treatment involves the destruction of nerves in the upper back chest cavity that stimulate sweating mostly to the palms, and to some extent, the armpits.

To make an appointment with a thoracic surgeon at Mount Sinai Beth Israel contact them individually. You can also click here to fill out an appointment scheduling form. A staff member will get back to you within 48 hours to schedule an appointment. You can also email your questions to BIThoracicSurgery@chpnet.org

For an Appointment Call
Faiz Bhora, MD
212.523.7475
Raja Flores
212.241.9466
Andrew Kaufman
212.241.8842
Ram Reddy
212.659.6800
Dong-Seok Lee
212.241.4325
Henry Tannous
212.659.9479
Andrea Wolf
212.241.9502

FREE Lung Cancer Screening

You can get a FREE low-dose CT scan of your chest, which is recognized as the best test for spots (nodules) on the lungs. See if you qualify for a FREE test by calling 212.636.3333