Sweaty, smelly hands and feet.

BACKGROUND

Palmoplantar hyperhidrosis, with or without offensive odour (bromhidrosis), can have a devastating effect on a patient's life. The condition usually begins in childhood or adolescence and can impact greatly on education, career choices and social development.

OBJECTIVE

This article describes the presentation, investigation and management options for palmoplantar hyperhidrosis.

DISCUSSION: Clinical history and examination is often sufficient to make a diagnosis of palmoplantar hyperhidrosis. Fortunately, there are successful treatments available that can provide relief of symptoms.