Table of Contents
ISRN Dermatology
Volume 2014, Article ID 308650, 4 pages
Clinical Study

Quality of Life in Patients with Focal Hyperhidrosis before and after Treatment with Botulinum Toxin A

1Department of Dermatology and Venereology, A. Sygros Hospital, 16121 Athens, Greece
22nd Department of Psychiatry, National and Kapodistrian University of Athens, Medical School, “Attikon” University Hospital, 12462 Athens, Greece
3Department of Wound Healing, Cardiff University, Cardiff CF103EU, UK

Received 26 November 2013; Accepted 25 December 2013; Published 6 February 2014

Academic Editors: R. A. Schwartz, A. Tosca, and D. Watanabe

Copyright © 2014 Anargyros Kouris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of this study is to assess the effectiveness of treatment with BTX-A in quality of life of patients suffering from primary focal hyperhidrosis. Materials and Methods. A total of 119 patients (62 females and 57 males) between 18 and 65 years suffering from moderate to severe focal hyperhidrosis were treated with BTX-A. Thirty-nine patients suffered from axillary hyperhidrosis, 47 patients from palmar hyperhidrosis, 12 patients from plantar hyperhidrosis, and 21 patients from palmar and plantar hyperhidrosis. A baseline and posttreated examination of patients 6 months after BTX-A is included. The Hyperhidrosis Disease Severity Scale (HDSS) was chosen to assess the disease severity and the modified Dermatology Life Quality Index was used (DLQI) to assess the quality of life. Results. Quality of life showed a significant improvement after treatment with BTX-A. The total DLQI score resulted significantly lower than the basal value ( ). The seriousness of hyperhidrosis significantly decreased after the treatment ( ). In addition, there was notable difference between the posttreatment DLQI scores and pretreatment severity of hyperhidrosis by sex. Conclusions. Treatment with BTX-A led to the reduction of disease severity and improvement of quality of life, while it is a safe, easy to use method with minimal side effects.