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Integrative Management of Hyperhidrosis 

Integrative Management of Hyperhidrosis
Chapter:
Integrative Management of Hyperhidrosis
Author(s):

Reena Rupani

and Mary Teeple

DOI:
10.1093/med/9780199907922.003.0017
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date: 30 May 2020

Hyperhidrosis is defined as perspiration in excess of what is needed for physiologic thermoregulation.Primary focal hyperhidrosis, the most common type, is excess regional sweating that is idiopathic in, and with localization following the distribution of eccrine sweat glands, which are most densely concentrated in the face, axillae, palms and soles. These glands are innervated by the sympathetic nervous system and respond to the neurotransmitter acetylcholine. While thermoregulatory sweating is coordinated by the preoptic region near the rostral hypothalamus, primary hyperhidrosis falls more under the category of emotional sweating, which is regulated by the limbic system. Secondary hyperhidrosis is excessive sweating due to an underlying condition rather than a primary dysfunction of the sweating mechanism itself. There are a multitude of such secondary etiologies and the treatment essentially lies in removal of the underlying condition. As such, treatment and integrative therapy of primary, rather than secondary, hyperhidrosis will be reviewed in this chapter.

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