COMPLICATIONS

Emotional Impact

The negative effects of hyperhidrosis (excessive sweating) are comparable to other conditions, such as severe psoriasis, end-stage renal disease, rheumatoid arthritis, and multiple sclerosis.1

Burden of disease in hyperhidrosis includes:2

  • Severe embarrassment associated with soaked clothing and wet palms.
  • Change of clothing required 2 or more times per day.
  • Handshaking avoided when possible.
  • Frustration with activities of daily living.
  • Impairment of performance and productivity at work.
  • Depression and lack of confidence.
  • Skin maceration from constant wetness can lead to bacterial and fungal infections.

Other possible complications

Fungal infections
Hyperhidrosis increases infections, particularly on the feet – most commonly fungal nail infections and athlete’s foot.3
Skin conditions
Excessive sweat can make you more vulnerable to certain skin conditions3, such as:
  • Warts-small, rough lumps on the skin that are caused by the HPV virus.
  • Boils-swollen red- yellow bumps in the skin that can develop when a hair follicle becomes infected.
  • Eczema can also be made worse by excessive sweating.
Body odour
Although people with hyperhidrosis sweat a lot, most don't have problems with body odour.
This is because hyperhidrosis doesn't usually affect the sweat glands responsible for producing unpleasant-smelling sweat-called the aprocrine sweat glands.
However, if bacteria are allowed to break down the sweat, it can start to smell unpleasant.3
  1. Recognition, diagnosis, and treatment of primary focal hyperhidrosis John Hornberger J Am Acad Dermatol 2004.
  2. Focal hyperhidrosis: diagnosis and management, Aamir Haider CMAJ 2005;172(1):69-80.
  3. https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/hyperhidrosis#complications-of-hyperhidrosis last accessed (Feb 2023).
BEAT THE SWEAT