Nancy K. Barnett, MD, 2016. "Hyperhidrosis (Chapter 166)", American Academy of Pediatrics Textbook of Pediatric Care, Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Thomas G. DeWitt, MD, FAAP, Jane Meschan Foy, MD, FAAP, Deepak M. Kamat, MD, PhD, FAAP, Rebecca Baum, MD, FAAP, Kelly J. Kelleher, MD, MPH, FAAP
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When excessive (beyond the norm for thermoregulation) localized sweating occurs in childhood, the child or the family usually expresses concern because the sweating is either odiferous or so intense that it interferes with hand functions (eg, holding a pencil) or foot functions. Axillary hyperhidrosis usually becomes more of a problem in adolescence because of the embarrassment of the sweat ring on clothing and the odor associated with bacterial degradation of apocrine sweat. The apocrine glands are stimulated at puberty by androgenic hormones. Palmar and plantar hyperhidrosis caused by eccrine sweat production may occur at any age. Eccrine sweat glands controlling...