What is primary vs. secondary hyperhidrosis?
There might be some confusion when patients are confronted with the terms secondary vs. primary hyperhidrosis. To make it easy to understand the term secondary hyperhidrosis denotes a situation where another disease is causing excessive sweating. In these cases, such as hyperthyroidism, infection, certain malignant ailments the primary source of a problem must be found and treated accordingly. In primary hyperhidrosis the sole reason for excessive sweating is not related to any other ailment but is caused by the genetic disposition that enables hyperhidrosis which is a clinical entity. It is also important to know that in primary hyperhidrosis cases, the sweating is limited to the palms of the hands and the feet. Primary hyperhidrosis can also be accompanied with excessive armpit sweating and facial sweating as well. As is expressed throughout this website, the surgical treatment for isolated facial hyperhidrosis or axillary hyperhidrosis is still questionable.