Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Palmoplantar hyperhidrosis is excess sweating of the palms and soles.
Hyperhidrosis usually occurs in people who are otherwise healthy.
The approach to treating hyperhidrosis generally proceeds from over-the-counter (OTC) antiperspirants to prescription antiperspirants, anticholinergic medications, iontophoresis, microwave destruction of sweat glands, Botox, and surgery.
Hyperhidrosis, or excessive sweating, is a common disorder that produces a lot of unhappiness. A small percentage of Americans suffer from excessive sweating of the underarms (axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar hyperhidrosis). Underarm problems tend to start around puberty, while palm and sole sweating may begin earlier, often during childhood. Untreated, these problems may continue throughout life.
Sweating is embarrassing, stains clothes, and may complicate business and social interactions. Severe cases can have serious practical consequences, like making it difficult to hold a pen, grip a steering wheel, or shake hands.
Surgical sympathectomy is the specialized, permanent nerve cutting, or destruction surgery performed to help decrease some types of sweating. It does not work for all types of excess sweating or for all areas of the body. Consultation with a specialized thoracic surgeon is required and overall, surgery is usually reserved for severe or resistant cases because of potentially serious side effects.
Botox is a brand name of a toxin produced by the bacterium Clostridium botulinum. There are other brand names for botulinum, such as Xeomin. In large amounts, this toxin can cause botulism, which you probabl"...