Prevalence and Disease Burden of Hyperhidrosis in the Adult Population

<b><i>Background:</i></b> Although hyperhidrosis is a common and burdensome condition, little is known about the population-based prevalence. <b><i>Objective:</i></b> To evaluate the epidemiology, disease burden and medical care of hyperhidrosis in German adults. <b><i>Methods:</i></b> Employees of fifty-two companies underwent skin screenings and interviews including hyperhidrosis questions. <b><i>Results:</i></b> 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. <b><i>Conclusion:</i></b> 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.