title: Effectiveness of iontophoresis with alternating current (AC) in the treatment of patients with palmoplantar hyperhidrosis.
abstract: Conventionally, iontophoresis employing direct current (DC) has been used in the treatment of palmoplantar hyperhidrosis, but this is accompanied by side effects such as pain and burns. In the present study, a prototype apparatus using alternating current (AC) was constructed, and iontophoresis with AC was performed in palmoplantar hyperhidrosis patients to determine its effectiveness. The average amount of perspiration of the palmoplantar hyperhidrosis patients was significantly reduced after the third session when iontophoresis treatments were performed once per week. By the eighth treatment, perspiration was reduced to nearly the normal level, and there were no particular side-effects during the treatment period. This treatment therefore appears to be both safe and effective. The treatment effect tended to appear sooner when alternating current iontophoresis was combined with the administration of anticholinergic drugs than when alternating current iontophoresis was used alone. Alternating current iontophoresis is an effective treatment for palmoplantar hyperhidrosis. Guidelines for this treatment for patients with palmoplantar hyperhidrosis will need to be established in the future.
authors.affiliation: Department of Dermatology, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Shimizu
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Tamada
authors.forename: Junko
authors.initials: J
authors.lastname: Shimizu
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Ohshima
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Sugenoya
mesh_terms: D000328:Adult; D018680:Cholinergic Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D005534:Foot Diseases / Q000628:therapy*; D006225:Hand; D006801:Humans; D006945:Hyperhidrosis / Q000628:therapy*; D007478:Iontophoresis / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008333:Mandelic Acids / Q000008:administration & dosage / Q000627:therapeutic use*; D013545:Sweat Glands / Q000503:physiopathology; D016896:Treatment Outcome
chemical_list: D018680:Cholinergic Antagonists; D008333:Mandelic Acids; C005419:oxybutynin