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      Prevalence and Disease Burden of Hyperhidrosis in the Adult Population

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          Abstract

          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.

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          Recognition, diagnosis, and treatment of primary focal hyperhidrosis.

          Lewis Stolman, Steven D. Glaser, … (2004)
          Article 0 comments Cited 72 times – based on 0 reviews     Review now
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            Prevalence of skin lesions and need for treatment in a cohort of 90 880 workers.

            Megan Augustin, S Hintzen, H Heigel … (2011)
            Healthcare planning requires robust data on the prevalence and need for care of dermatological diseases. To date, no systematic data in population-based samples are available for Germany. Determination of the prevalence of skin lesions and of the need for care based on dermatological examinations in working adults in Germany. From 2004 to 2009, workers aged between 16 and 70years from different branches of industry throughout Germany underwent a single dermatological whole-body examination on the occasion of company screening for skin cancer. The data were recorded electronically and evaluated descriptively. In addition to the clinical findings, case history data on previous skin diseases were documented and the need for further clarification or treatment was determined on the basis of the dermatologist's assessment. Data from n=90 880 persons from a total of 312 companies were evaluated. Of the pigmented skin lesions, dermal naevi were found in 25·1% of the cohort, and 16·7% displayed more than 40 each. The most frequent inflammatory skin diseases were acne vulgaris (3·9%), psoriasis (2·0%), rosacea (2·3%) and atopic eczema (1·3%). Examination of the case histories showed that the most frequent condition was allergic sensitizations (41·1%); of these, pollen accounted for the biggest group (21·4%), followed by contact allergens (8·0%). In total, 26·8% of the cohort exhibited a dermatological finding in need of treatment or further clarification. Dermatological lesions and diseases requiring clarification are frequent and indicate a high demand for treatment in the adult population. © 2011 The Authors. BJD © 2011 British Association of Dermatologists.
            Article 0 comments Cited 48 times – based on 0 reviews     Review now
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              Prevalence of Chronic Pruritus in Germany: Results of a Cross-Sectional Study in a Sample Working Population of 11,730

              S Ständer, I Schäfer, N.Q. Phan … (2010)
              Background: Pruritus is a frequent symptom in many diseases; its prevalence in German adults is unknown. Objective: Our purpose was to assess the prevalence, severity and health care of chronic pruritus in the German working population. Methods: A cross-sectional observational study was conducted in employees of 144 German companies. Pruritus-specific data were obtained by standardized questions. Results: 11,730 people (53.2% male, 16–70 years, mean = 43.7 years) were suitable for analysis. The point prevalence of chronic pruritus (at least 6 weeks prior to data collection) was 16.8%. The prevalence increased with age from 12.3% (16–30 years) to 20.3% (61–70 years). A quarter of the affected persons had suffered from pruritus for >5 years, 47% had never sought medical advice, and 94% had not undergone any treatment. Conclusions: Chronic pruritus is a prevalent symptom in the working age population. A high proportion of people affected are not medically treated.
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                Author and article information

                Journal
                Journal ID (publisher-id): DRM
                Journal ID (nlm-ta): Dermatology
                Journal ID (doi): 10.1159/issn.1018-8665
                Title: Dermatology
                Publisher: S. Karger AG
                ISSN (Print): 1018-8665
                ISSN (Electronic): 1421-9832
                Publication date Subscription-year: 2013
                Publication date (Print): October 2013
                Publication date (Electronic): 27 August 2013
                Volume: 227
                Issue: 1
                Pages: 10-13
                Affiliations
                aIVDP - Institute for Health Services Research in Dermatology and Healthcare, University Medical Center Hamburg-Eppendorf, Hamburg, and bHeigel.com, Hanstedt, Germany
                Author notes
                *Prof. Dr. Matthias Augustin, IVDP - Institute for Health Services Research in Dermatology and Healthcare, University Medical Center Hamburg-Eppendorf, DE-20246 Hamburg (Germany), E-Mail m.augustin@uke.de
                Article
                Publisher ID: 351292 Other ID: Dermatology 2013;227:10-13
                DOI: 10.1159/000351292
                PubMed ID: 23988406
                SO-VID: 4fa88b37-c47c-4b2f-9e17-32668a8b931b
                Copyright © © 2013 S. Karger AG, Basel
                License:

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                Date received : 16 August 2012
                Date accepted : 08 April 2013
                Page count
                Figures: 1, Tables: 3, Pages: 4
                Categories
                Subject: Original Paper

                ScienceOpen disciplines: Oncology & Radiotherapy,Pathology,Surgery,Dermatology,Pharmacology & Pharmaceutical medicine
                Keywords: Dermatology,Health services research,Hyperhidrosis,Epidemiology,Disease burden,Prevalence
                Data availability:
                ScienceOpen disciplines: Oncology & Radiotherapy, Pathology, Surgery, Dermatology, Pharmacology & Pharmaceutical medicine
                Keywords: Dermatology, Health services research, Hyperhidrosis, Epidemiology, Disease burden, Prevalence

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