Open AccessPerianal Hyperhidrosis Successfully Treated with Botulinum Toxin A
Author(s) -
Leandra Reguero del Cura,
Marta Drake Monfort,
Adrián De Quintana Sancho,
Marisol López
Publication year - 2021
Publication title -
skin appendage disorders
Language(s) - English
Resource type - Journals
eISSN - 2296-9195
pISSN - 2296-9160
DOI - 10.1159/000515492
Subject(s) - hyperhidrosis , botulinum toxin , medicine , psychosocial , adverse effect , dermatology , quality of life (healthcare) , safety profile , surgery , psychiatry , nursing
Perianal hyperhidrosis (HH) is a rare form of primary focal HH and may become a major problem for the patient with a significant psychosocial burden and negative impact on the quality of life. Botulinum toxin injections are widely used as a second-line treatment option for axillary, palmar, and plantar HH with a good safety profile. Herein, we present a case of primary perianal HH successfully treated with Botulinum toxin A at a dose higher than that previously reported in literature, with a longer response, a higher degree of satisfaction, and no adverse effects. Moreover, we review the main aspects of the perianal anatomy that are essential to carry out the technique correctly and make dermatologists achieve expertise with the procedure.