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See 1 citation in Br J Dermatol 2005:

Br J Dermatol. 2005 Feb;152(2):329-33.

No compensatory sweating after botulinum toxin treatment of palmar hyperhidrosis.

Author information

1
Institute of Clinical Neuroscience, Sahlgren Universtiy Hospital, S-413 45 Göteborg, Sweden.

Abstract

BACKGROUND:

Primary focal hyperhidrosis is caused by excessive secretion by eccrine sweat glands, usually at the palms, soles and axillae. The underlying mechanism is unclear. In recent years botulinum toxin A has emerged as a useful treatment. Compensatory sweating, which is a major problem in many patients who have undergone transthoracic endoscopic sympathectomy for hyperhidrosis, has only rarely been reported after botulinum toxin. However, this potential side-effect of botulinum toxin treatment has not been systematically examined.

OBJECTIVES:

To investigate if treatment with botulinum toxin A in hyperhidrotic hands may cause compensatory sweating at other skin locations.

METHODS:

In 17 patients with a history of palmar hyperhidrosis repeated measurements of evaporation were made before and up to 6 months after treatment of the hands with botulinum toxin A. Recordings were made at 16 skin areas and compared with subjective estimates of sweating.

RESULTS:

Following treatment, palmar evaporation decreased markedly and then returned slowly towards pretreatment values, but was still significantly reduced 6 months after treatment. No significant increase of sweating was found after treatment in any nontreated skin area.

CONCLUSIONS:

Successful treatment of palmar hyperhidrosis with botulinum toxin does not evoke compensatory hyperhidrosis in nontreated skin territories.

[Indexed for MEDLINE]

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