Hyperhidrosis and Acne: Causes and Solutions

Hyperhidrosis and acne-prone skin?

Hello, I experience excessive sweating in my armpits and buttocks during winter, and even more so in summer.
I have been using antiperspirants, but they don't seem to be very effective.
My armpits are always damp, which is quite embarrassing, and the chairs I sit on also get wet when I stand up.
The main issue is that I don't feel hot, so why am I sweating so much? Is this excessive sweating abnormal? I am considering surgery, but I am concerned that compensatory sweating might become worse, as my hands and feet also sweat a lot.
What should I do? Additionally, I have been dealing with acne since middle school, with breakouts on my face, body, and lower back.
Is there a connection between these two issues? Why is this happening to me? I am quite troubled and would like to know where to seek medical help in Taipei.
Thank you for your response!

Yazi, 20~29 year old female. Ask Date: 2004/01/07

Dr. Huang Ruiyun reply Dermatology

I'm not sure which type of antiperspirant you are using.
If you are trying a spray, I recommend switching to a roll-on type, as it tends to be more effective than sprays.
You can try the brand BAN at a pharmacy or drugstore.
Excessive sweating is not related to acne.
Taipei has abundant medical resources, and since acne requires long-term treatment, the convenience of the medical facility is also important.
Dermatology departments at various medical centers, city hospitals, non-profit hospitals, and church hospitals are all good options.
You can also consult a private practice physician, but make sure to see a dermatologist who specializes in skin conditions.
Avoid general practitioners, pediatricians, or family medicine doctors who may provide dermatological services as a secondary focus, as they are typically not specialized dermatologists.

Reply Date: 2004/01/07

More Info

Hyperhidrosis, or excessive sweating, is a condition that can be both physically and emotionally distressing. It can occur in various areas of the body, including the underarms, palms, feet, and even the groin. In your case, it seems to be particularly pronounced in the underarm and buttock regions, which can lead to discomfort and embarrassment, especially when the sweating occurs without any apparent trigger, such as heat or physical exertion.
The underlying causes of hyperhidrosis can be categorized into two types: primary and secondary. Primary hyperhidrosis is often localized and does not have an identifiable medical cause. It is thought to be related to overactive sweat glands and may have a genetic component. Secondary hyperhidrosis, on the other hand, can be caused by various medical conditions, medications, or hormonal changes. Since you mentioned that you sweat excessively even in winter and do not feel hot, it is possible that you may be experiencing primary hyperhidrosis.

Regarding your concern about surgical options, such as sympathectomy, it is important to weigh the benefits against potential side effects, including compensatory sweating in other areas of the body, which can sometimes be more severe. Before considering surgery, it may be beneficial to explore other treatment options. These can include prescription-strength antiperspirants, iontophoresis (a treatment that uses electrical currents to reduce sweating), Botox injections, or oral medications that reduce sweating. Consulting with a dermatologist who specializes in hyperhidrosis can provide you with tailored treatment options.

Now, regarding your acne concerns, there is indeed a potential link between hyperhidrosis and acne. Both conditions can be influenced by hormonal changes, which can lead to increased oil production in the skin and clogged pores, resulting in acne. Additionally, excessive sweating can create a moist environment that may exacerbate acne, especially if sweat mixes with oils and bacteria on the skin.
To address your acne, it is essential to adopt a comprehensive skincare routine. This may include using non-comedogenic products, which do not clog pores, and incorporating topical treatments containing ingredients like benzoyl peroxide, salicylic acid, or retinoids. In more severe cases, oral medications such as antibiotics or hormonal treatments may be necessary. Consulting with a dermatologist can help you develop an effective treatment plan tailored to your skin type and acne severity.

In terms of where to seek medical help in Taipei, you might consider visiting a reputable dermatology clinic or a hospital with a dermatology department. Look for specialists who have experience in treating both hyperhidrosis and acne, as they can provide a comprehensive approach to managing both conditions.

In summary, hyperhidrosis and acne can be interconnected, and addressing one may help alleviate the other. It is crucial to consult with a healthcare professional who can provide a thorough evaluation and recommend appropriate treatments for both conditions. With the right approach, you can manage your symptoms effectively and improve your quality of life.

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