title: Botulinum toxin a in the treatment of chromhidrosis.
abstract: BACKGROUND
  Chromhidrosis is an uncommon disorder characterized by secretion of colored sweat by apocrine glands, typically localized to the face or axilla. The current treatments available for chromhidrosis are time consuming and frequently ineffective.
  
  
  OBJECTIVE
  Our purpose is to demonstrate a novel approach to the treatment of apocrine chromhidrosis.
  
  
  METHODS
  We report a case of apocrine chromhidrosis successfully treated with botulinum toxin A (BTX-A; Botox).
  
  
  RESULTS
  BTX-A therapy successfully controlled facial chromhidrosis, and the effects were visible at 19 weeks post-treatment. The therapeutic benefits may be attributed to its inhibitory effects on cholinergic stimulation, adrenergic stimulation, and substance P release, although further studies are necessary to elucidate the precise mechanism of action.
  
  
  CONCLUSIONS
  This report demonstrates a new therapeutic approach to patients suffering from chromhidrosis.
authors.affiliation: School of Medicine, University of Sheffield, UK.
authors.forename: Jessie M
authors.initials: JM
authors.lastname: Wu
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Mamelak
authors.forename: Rachel
authors.initials: R
authors.lastname: Nussbaum
authors.forename: Patrick S J
authors.initials: PS
authors.lastname: McElgunn
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000008:administration & dosage*; D002610:Cheek / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009465:Neuromuscular Agents / Q000008:administration & dosage*; D010859:Pigmentation Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012008:Recurrence; D013543:Sweat Gland Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D009465:Neuromuscular Agents; D001905:Botulinum Toxins