Prevalence and disease burden of hyperhidrosis in the adult population

BACKGROUND: Although hyperhidrosis is a common and burdensome condition, little is known about the population-based prevalence.

OBJECTIVE: To evaluate the epidemiology, disease burden and medical care of hyperhidrosis in German adults.

METHODS: Employees of fifty-two companies underwent skin screenings and interviews including hyperhidrosis questions.

RESULTS: 14,336 individuals were investigated (36% women, mean age 42 years) of whom 2,340 (16.3%) reported hyperhidrosis, including 869 (6.1%) with frequent or continuous disturbing sweating. 28% showed focal hyperhidrosis, whilst 68% had a generalized condition. Predictors of hyperhidrosis were male gender and concomitant drug medication. Moreover, persons with psoriasis and with metabolic comorbidity were at increased risk. Only 27% of those with focal hyperhidrosis had consulted a physician, and only 28% used prescribed medication or self-medication.

CONCLUSION: Hyperhidrosis is a frequent skin condition predicted by medical and personal factors. In spite of the disease burden, few individuals utilize medical care. Affected individuals should be encouraged to refer to a dermatologist.