Primary focal hyperhidrosis: disease characteristics and functional impairment

Dermatology. 2006;212(4):343-53. doi: 10.1159/000092285.

Abstract

Background: There are few published data on the clinical characteristics of hyperhidrosis.

Objective: To describe the functional impairment caused by primary focal hyperhidrosis.

Methods: Patients with hyperhidrosis (n = 345) were enrolled at the Department of Dermatology, University of Würzburg. Controls (n = 154) were a convenience sample of subjects without hyperhidrosis. Hyperhidrosis characteristics, health-related quality of life and functional impairment were assessed.

Results: Patients with axillary hyperhidrosis reported a later age at onset and a higher prevalence of a family history of hyperhidrosis than patients with palmar hyperhidrosis. Sixty-three percent of patients reported occupational impairment related to hyperhidrosis. Hyperhidrosis patients reported emotional and physical impairment, with a greater proportion of the axillary group reporting impairment. More than 50% of patients reported moderate to extreme impairment in personal relationships and in social situations.

Conclusion: Primary focal hyperhidrosis is a serious medical condition, affecting work productivity, daily activities, emotional well-being and personal relationships.

MeSH terms

  • Adult
  • Analysis of Variance
  • Axilla
  • Case-Control Studies
  • Female
  • Hand
  • Humans
  • Hyperhidrosis / physiopathology*
  • Hyperhidrosis / psychology
  • Male
  • Quality of Life
  • Retrospective Studies
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Sweat Glands / innervation