Medical history (history of illness) represents an important component in the diagnosis of hyperhidrosis (sweating).
Family history
Social history
- What is your occupation?
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- When and in which areas (e.g. armpit, feet, hands) do you sweat?Do you sweat after stress (excitement, etc.), after meals (possibly due to spices), physical exertion, etc.?
- Do you sweat all over your body?
- If night sweats: How long have you been suffering from increased night sweats?
- Do you need to change clothes during the night?
- Do you sweat only in certain parts of the body or generalized?
- Do you additionally suffer from fever? If so, at what time of day? How high is the fever?
- Have you noticed any unwanted weight loss?
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you eat a balanced diet?
- Do you eat spicy food?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Previous diseases (metabolic diseases, infections, diseases of the musculoskeletal system and connective tissue, tumor diseases, diseases of the nervous system).
- Operations
- Allergies
- Pregnancies
Medication history
- Analgesics*
- Antiarrhythmics
- Adenosine
- Class Ic antiarrhythmics (flecainide).
- Antidepressants*
- Tricyclic antidepressants (sibutramine).
- Appetite suppressants – tricyclic antidepressants (amitriptyline).
- Beta blockers*
- Biological (infliximab)
- Cholinergics*
- Hormones
- Antiestrogens (e.g. tamoxifen)* .
- Cholecystokinin analogues (ceruletide).
- GnRH analogs (goserelin acetate, leuporelin acetate, buderelin acetate, nafarelin acetate, triptorelin acetate).
- Glucocorticoids
- Magnesium sulfate
- Opioids*
- Parasympathomimetics*
- Direct parasympathomimetics (muscarinic receptor agonists): acetylcholine (No therapeutic significance because of rapid degradation), bethanechol, carbachol, muscarinic, pilocarpine.
- Indirect parasympathomimetics (cholinesterase inhibitors): donepezil, distigmine, galantamine, neostigmine, physostigmine, pyridostigmine, rivastigmine, tacrine, alkyl phosphates.
- Proton pump inhibitors (esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole).
* Major causes of secondary generalized hyperhidrosis.
