2016, Number 619
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ABSTRACTHyperhidrosis is a clinical condition characterized by excess sweat production affecting children and adults, with no difference in gender. Primary focal hyperhidrosis is currently considered to be idiopathic, affecting areas of the body including the arm pits, palms, soles, and face. Topical medications are often the first-line therapy and frequently include aluminum salts, which are found recently as antiperspirants with clinical strength in supermarkets and pharmacies. Aluminum chloride hexahydrate is the active ingredient found in prescription preparations, whereas a partially neutralized version is used in nonprescription compounds. Topical anticholinergic products, botox, iontophoresis, sympatectomy, and other surgical techniques are directed to the tissues of the sweat glands as alternative treatments.