Classification for hyperhidrosis
There are two types of hyperhidrosis:
- Localized: with predominance in palms, feet plants, armpits, groin and the face;
- Generalized: with incidence over the whole extension of skin.
Depending on the origin of the condition, it can be classified in two types:
- Which is present on one hundred percent of the population with predominance on palmar region, palmoaxilar, face, axillary, and plantar region. On women with bigger breasts it also affects inside the fold of breasts;
- It is a benign disorder of unknown origin, although there is the theory that the source of this condition can be found on the sympathetic hyperactivity with an increment on the peripheral sudomotor response.
- Skin diseases (fungal infections, contact dermatitis, bacteria);
- CNS disorders such as brain tumor or stroke;
- Diseases that affect Spinal cord: syringomyelia, spinal cord injury, tabes;
- Psychogenic origin;
- Carcinoid tumor;
- Epidermolysis bullosa.
This condition requires a clinical diagnosis, and the possible causes listed previously should be taken into account for the diagnosis. To examine the sweating there are a variety of techniques, although their use on the clinical practice is oriented to detect contrary conditions like the lack of sweating, and on hyperhidrosis they are used in an experimental way:
- Colorimetric techniques: skin surface is impregnated with an alcohol tincture of iodine at two percent which once is dry is powdered with starch. The mixture of this preparation with sweating produces a discoloration of iodine which allows the visual identification of sweating drops like bluish-brownish spots on skin that indicate the localization of sweating glands;
- Evaporation techniques: they are used to evaluate the rate of sweating taking as a reference changes on the partial pressure of water vapor on a closed room. There are also collectors of sweating made in impervious materials which allow, once they are attached to the skin, the collection of sweating secreted on the skin on a delimited surface, in a way that the secretion of sweating made by the glands distorts the shape of the material, producing permanent impressions when it is hardened and allows to assess the number of active glands;
- Electrophysiological techniques: they measure the changes on the electric resistance on the surface of skin due to the secretion activity of the sweating glands.
Driclor on the treatment of hyperhidrosis
As it has been told, the active ingredient for the formula of Driclor is Aluminium Chloride Hexahydrate in a concentration of 185 mg/mL in a solution of alcohol. This component has been widely used on the treatment of localized hyperhidrosis, on which cases it is recommended the application of this solution once each night over a clean and dry skin. To dry armpits, palms and plants after the product has been applied a thin film of polyethylene is used, and at the next morning it is removed.