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The Effects on Patients' Lives: Social Embarrassment and Psychological Effects
Embarrassment associated with soaked clothing and wet palms
can be severe. Patients with axillary hyperhidrosis use varying
strategies to deal with the potential for excessive sweat
to soak through their clothing in minutes, using pads, shields,
absorbent tissues, and frequent clothing changes.[42]
A college professor with axillary hyperhidrosis was embarrassed
to find that his students made daily bets on whether his sweat
stain would reach his belt by the end of the lecture.[140]
Baseline evaluation of a series of patients treated for axillary
hyperhidrosis found 90% of the group reported an effect on
their emotional status, and over 70% had to change clothes
two or more times per day.[100]
Over 50% of patients with axillary hyperhidrosis identified
in a U.S. national consumer survey reported feeling less confident,
38% are frustrated by some daily activities, 34% feel unhappy,
and 20% are depressed.[135]
The damp hands of patients with palmar hyperhidrosis are
constantly wiped on clothing or towels, and handshaking is
avoided when possible.[43]
Damp hands can be misconstrued as a sign of anxiety by others,[9]
but anxiety about how they appear may itself be a stimulus
for increased sweating, creating a vicious cycle.[57]
Social embarrassment was reported by 90% of patients with
palmar hyperhidrosis evaluated prior to sympathectomy, and
40% had psychological difficulties attributed to their symptoms.[2]
In another series of patients with palmar hyperhidrosis who
were to undergo sympathectomy, 77% avoided shaking hands and
17% had to wear gloves to do some tasks.[46]
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