 |
|
Delusional Hyperhidrosis as a Risk for Medical Overtreatment: A Case of Botulinophilia
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Primary essential hyperhidrosis (EHH) occurs typically in young patients
experiencing mental stress without other pathogenic factors. Intradermal injections
of botulinum toxin has become a safe and highly effective treatment for properly
selected patients.1-3
We describe a 22-year-old patient demanding to be treated with botulinum toxin
for palmar hyperhidrosis despite a complete lack of hyperhidrotic symptoms.
After undergoing thoracic sympathectomy, he presented at the Department of
Dermatology at the University Hospital in Zurich (Switzerland) with conspicuously
dry hands, showing partly erosive and partly hyperkeratotic plaques on an
erythematous base on the palms and back of his fingers (Figure 1) after a self-treatment with tanning lotions and tap water
iontophoresis. Instead of botulinum toxin treatment, he was treated with ointments
and was referred to a psychiatrist, whom the patient refused to see. Instead,
he presented at 2 other dermatological university medical centers, in Munich
and Freiburg (Germany), in the same . . . [Full Text of this Article]
|
