Clinical Sciences/Health Conditions
Gaspar Boroka- Panna, MD
Dr. med.
"Prof. Dr. Ioan Puscas" Hospital, Simleu Silvaniei, Physical Medicine and Rehabilitation Department
Simleu Silvaniei, Salaj, Romania
Dogaru Gabriela, MD, PhD
Prof. Dr. Med. Habil.
"Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
Cluj- Napoca, Cluj, Romania
Hyperhidrosis is a chronic, dermato-metabolic and neuro-endocrinological disease characterized by an abnormal increase in sweat secretion. It is one of the most challenging conditions due to its often dramatic presentation, leaving patients feeling as if they are “rain-soaked.” Onset at a young age and frequently remaining undiagnosed, the condition exerts a significant impact on psycho-emotional state, behaviour and overall quality of life.
Case Description:
The objective of this study is to describe a variety of rehabilitation methods applied in three young male patients with primary hyperhidrosis, differentiated by the local sites involved—craniofacial, axillary and lumbosacral/plantar—and by disease severity.
Discussions:
Treatment decisions were guided by safety considerations and a patient- centered approach, aiming to provide long-term efficacy. We focused on non-invasive, device-based therapeutic interventions and individualized the application of physical-kinetic procedures, including iontophoresis, ultrasound, laser, magnetotherapy.
Conclusions:
Standardizing rehabilitation programs in primary hyperhidrosis through a multimodal, evidence-based approach enhances the effectiveness of care in daily clinical practice. It integrates the patient in to an internationally recognized therapeutic framework, strengthens confidence in a non- or minimally- invasive conservative interventions, and supports the patient in a socially engaging environment. This allows for the development of accessible psycho- emotional and physical activities while maintaining effective control over sweating.