His cause is not known but sudomotora is related to a hyperactivity of the nice fibres and an increase of the peripheral answer. It has tendency to affect several members of a family and an incidence in the young population between 0,1 and 0,3 %.

The excessive sudoración due to the sobreactividad of the glands sudoríparas. It can be generalized or be confined in the palms, the plants, the armpits, the regions inframamarias or English. The skin of the fond areas is usually pink or white - bluish. In the serious cases, the skin, especially that of the feet, can be macerated, fisurada and descamativa.
The bromhidrosis is a process in which the skin detaches a stinking smell due to the decomposition of the cellular garbage and of the perspiration for the bacteria and the yeasts.

The increase of the hydration of the skin can be a taxpaying factor in several skin diseases (infections micóticas or piógenas; dermatitis for contact).

The widespread hiperhidrosis usually accompanies herself of fever. An alteration endocrine (for example: hipertiroidismo), or sometimes, a Central nervous system disease they can provoke also sudación generalized. The cause of the located sudación is not known; it usually happens in completely normal individuals. The excessive sudación of the palms and of the plants can be also psicógena.

a) Doctor

In the located hiperhidrosis the Aluminum chloride is usually effective in the shape of alcoholic solution of chloride of Aluminum hexahidratado to 20 %, applied in the night in the dry armpit, the palms or the plants, which must be covered very well with a thin layer or movie of polyethene.
In the morning the polyethene movie moves back and he washes himself.
Two applications usually protect the area for 1 week.
If the chloride of low Aluminum occlusion turns out to be irritating, it must be proved without occlusion.
If the treatment fails with chloride of anhydrous Aluminum, the extreme hiperhidrosis axilar can get better by means of the split in block of the glands axilares.

The bromhidrosis often answers easily to the treatment. The meticulous cleanliness is essential. The daily wash with liquid soap that it contains clorhexidina and the application of prepared of chloride of To (that is in most of the deodorants of the market) they are usually suitable. Sometimes there is necessary the application of lotions or local antibacterial creams (for example, clindamicina or eritromicina). The shave of the hair can be precise axilar.

b) Psicólogico

If it does not work it is possible that a consultation with a psychologist relaxes him of this situation that for you is uncontrollable, but it could take it with more normality knowing that it is not an important problem, and that it is possible to control by means of behavioral systems.

c) Injections of Toxin Botulínica

The toxin injections botulínica have just demonstrated his efficacy against the excessive sudoración. This therapy presents itself as an alternative to the surgery, although the treatment must recur approximately three times a year.
The toxin injections botulínica have just demonstrated his efficacy against the excessive sudoración. This therapy presents itself as an alternative to the surgery, although the treatment must recur approximately three times a year.
The effects of the treatment begin to be evident between two and four days after the injection, and the pathology disappears completely in one week, the sudoración is abundant again at the age of four months approximately. Nevertheless, the solution consists in injecting another dose again to notice how the hiperhidrosis sends again.

d) Surgery

The treatment quirrgico of this complaint is practised from 1.920, consisting of the partial section of the nice chain that is in the later portion of every hemitorax, what it is necessary to enter the same one for his access. Until a few years ago the intervention was indicated in little occasions because the access to the above mentioned nervous chain needed the opening of the thorax by means of a toracotomia and it was considered that the above mentioned aggression quirrgica was too important for a benign problem and of few clinical transcendency for the doctor. In 1.992 the surgery appears videotoracoscópica that as the artroscopia or the laparoscopy, it allows realizing interventions quirrgicas inside the thorax without the need to open the same one. The videotoracoscópia allows the introduction of an optics and set of instruments quirrgico to realize different interventions quirrgicas between them the thoracic simpatectomía that is the intervention indicated in the hiperhidrosis.

The thoracic simpatectomía for videotoracoscópia is a procedure that needs general anesthesia and intubación selective pulmonary to be able to realize, with a minimal risk quirrgico and with an average hospitable stay of 24 hours.
As soon as there was extirpated the portion of stated nice chain, the effect of the disappearance of the hiperhidrosis is immediate in 98 % of the cases. The grade of satisfaction of the patient is very high and the long-term results are also closely of 95 % of successes. As side effects, the thoracic simpatectomía for hiperhidrosis can lead the patient to having a few "dry hands" that the hydration of the same ones needs one or several times a day, although the patient always recounts that this new situation is better that the previous one with his excessive sudoración. Other of the side effects is the call "hiperhidrosis" compensating in that a light increase of the sudoración exists at level of the back or of the thighs, problems that the patient does not recount how very annoying either. The introduction of 3 children you will change of 5mm. at level of the intercostal space it can sometimes produce in the first postoperative weeks a thoracic pain that yields with a habitual analgesic.

In short, the patient with hiperhidrosis would occupy first place to that the dermatologic medical treatment does not improve his problem, he knows today that it has a treatment quirrgico alternative, slightly aggressively and very beneficial.