title: Hyperhidrosis and botulinum toxin A: patient selection and techniques.
abstract: Focal idiopathic excessive eccrine sweating presents most commonly as an affliction of three anatomically distinct area: the axillae, the palms and soles, and the upper face. The true incidence is not known, but about half of the patients referred to us with this condition have at least one first-degree relative similarly affected. Only a fraction of patients afflicted are thought to seek medical care because of the social stigma, lack of understanding on the part of medical providers as to the cause and nature of the problem, and, until now, lack of effective nonsurgical therapy. A large social sample is required to accurately measure both the incidence and the exact nature of the genetic influence.
authors.affiliation: Department of Dermatology, School of Medicine, University of California, San Francisco, San Francisco, California 94117-3685, USA. rglogau@aol.com
authors.forename: Richard G
authors.initials: RG
authors.lastname: Glogau
mesh_terms: D019274:Botulinum Toxins, Type A / Q000008:administration & dosage*; D006801:Humans; D006945:Hyperhidrosis / Q000188:drug therapy*; D007271:Injections, Intradermal; D009465:Neuromuscular Agents / Q000008:administration & dosage*; D018579:Patient Selection
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A