Hyperhidrosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

History and Symptoms

Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, axillae, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands; however, any part of the body may be affected. Primary hyperhidrosis is found to start during adolescence or even before, and interestingly, seems to be inherited as an autosomal dominant genetic trait.

Primary hyperhidrosis must be distinguished from secondary hyperhidrosis, which can start at any point in life. For some, it can seem to come on unexpectedly. The latter form may be due to a disorder of the thyroid or pituitary gland, diabetes mellitus, tumors, gout, menopause, certain drugs, or mercury poisoning. Such secondary forms may have more serious consequences than just hyperhidrosis, making medical consultation advisable.

Affected Areas

• Palmar: Excessive sweating of the hands.
• Axillary: Excessive sweating of the armpits.
• Plantar: Excessive sweating of the feet.
• Facial: Excessive sweating of the face. (i.e. not emotional or thermal related blushing)
• General: Overall excessive sweating.

Relevant History

• Location
  • Does it occur your face, palms, or armpits, or all over the body?

• Time pattern
  • Does it occur at night?
  • Did it begin suddenly?

• Triggers
  • Does the sweating occur when you are reminded of something that upset you (such as traumatic event)?

• What other symptoms do you have, for example:
  • Weight loss
  • Pounding heartbeat
  • Cold or clammy hands
  • Fever
  • Lack of appetite