Unilateral Hyperhidrosis | Common Details

Unilateral Hyperhidrosis Common DetailsUnilateral and localized hyperhidrosis more often indicate cerebral sweating disorders. So, unilateral contralateral hyperhidrosis can be associated with the nervous system damage after cerebral infarction. After hemiplegia, hyperhidrosis most often develops on the same side. With central nervous disorders, there doesn’t occur thermoregulatory and psychogenic sweating, but spontaneous and pharmacologically induced sweating remains.

Localized unilateral hyperhidrosis can be associated with spinal cord injury in mono- or polyneuropathies. With limited unilateral hyperhidrosis, the cause may be the presence of a cervical rib. Severe acrohidrosis (localized hyperhidrosis of the extremities) is observed in persons suffering from neuroses, alcoholism, and polyneuropathies.

Palms, feet, groin, armpits, anal, nasolabial triangle, chin, and in bald people – the head are predisposed to local or limited hyperhidrosis. The most common violation of this function is hyperhidrosis of the feet and armpits, which develops as a result of a local heat transfer violation (uncomfortable and poorly conductive clothing, increased temperature and humidity, uncomfortable shoes, flat feet, etc.).

Excessive sweating of the extremities – acrohidrosis – is emotionally difficult for patients. At the same time, palms, palmar surfaces of fingers, feet, that is, places where sweat usually appears under the influence of emotions, sweat a lot. In adolescence, moderate acrohidrosis occurs as an age-related phenomenon. Increased sweating of the feet is accompanied by maceration and irritation of the skin with sweat decomposition products, diaper rash, and painful cracks.

Treatment options

Unilateral hyperhidrosis as an independent disease (idiopathic, primary) is curable. It occurs due to the increased sensitivity of the sympathetic nervous system. High air temperature, physical exertion or excessive emotions cause a person to sweat in greater quantities than healthy people, and otherwise he does not complain about anything – this is idiopathic hyperhidrosis. But even in this case, it will be advisable to contact an endocrinologist, undergo a general blood and urine test, a test for some infections, a comprehensive study of the thyroid gland (ultrasound and tests that determine its function), as well as an electrocardiogram.

If no severe pathologies are diagnosed, the patient will be offered several ways to get rid of this problem:

  • electrophoresis;
  • taking certain medications;
  • Botox (botulinum toxin A) injections into problem areas;
  • sympathectomy: crossing (permanently) or clamping (temporarily) the nerves that cause sweating;
  • curettage.

In addition to the above methods, it is worth noting thatkeeping o a diet will have a positive effect. Excessive consumption of fatty and spicy foods, carbonated drinks, and drinks containing caffeine can cause increased sweating. Adjusting your diet will have a positive effect on your overall health.

In addition, do not forget about hygiene: do not save on sweat products, take a shower twice a day, suitable dress, try to wear clothes made mainly from natural materials, it allows the skin to breathe.

Also, many people are trying to treat hyperhidrosis with traditional remedies, but they are ineffective. And the most effective and least traumatic methods are botox and sympathectomy.


Botox is safe, contrary to popular myths. The only contraindications to its use are pregnancy and lactation, individual intolerance, acute and chronic infections and skin diseases at the sites of exposure. It is recommended to do injections no more than once a year.


Sympathectomy is performed using an endoscope. A small incision is made in the neck. Through it, all the necessary tools are introduced, the operating doctor controls his movements using a miniature camera. Nerve transection or clamping is possible. This is done using a special clamps. It is used to remove the clamps and return the sympathetic nervous system to its previous state in the event of severe compensatory sweating in other body parts.

Category: General Info

Tags: healthcare, hyperhidrosis, medicine

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