Isolated hyperchlorhidrosis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Isolated hyperchlorhidrosis
Synonyms
Pronounce
Specialty	Dermatology
Symptoms	Excessive sweating
Complications	N/A
Onset
Duration
Types	N/A
Causes	Genetic mutation
Risks
Diagnosis	Clinical evaluation
Differential diagnosis	Hyperhidrosis, Cystic fibrosis
Prevention
Treatment	Antiperspirants, Iontophoresis, Botulinum toxin
Medication
Prognosis
Frequency	Rare
Deaths

Isolated Hyperchlorhidrosis

Isolated hyperchlorhidrosis is a rare genetic disorder characterized by excessive sweating due to an overproduction of chloride ions in the sweat glands. This condition is distinct from more common forms of hyperhidrosis, which are typically not linked to chloride ion imbalance.

Pathophysiology

The pathophysiology of isolated hyperchlorhidrosis involves a dysfunction in the chloride channels within the sweat glands. These channels are responsible for the transport of chloride ions, which play a crucial role in the regulation of sweat production. In individuals with this condition, mutations in genes encoding these channels lead to an abnormal increase in chloride ion secretion, resulting in excessive sweating.

Genetics

Isolated hyperchlorhidrosis is inherited in an autosomal recessive manner. This means that an individual must inherit two copies of the mutated gene, one from each parent, to manifest the disorder. Carriers, who have only one copy of the mutated gene, typically do not exhibit symptoms. The specific genes involved in this condition are still under investigation, but they are believed to be related to the family of genes that encode chloride channels.

Clinical Presentation

Patients with isolated hyperchlorhidrosis often present with excessive sweating that is not limited to any particular area of the body. This can lead to significant discomfort and social embarrassment. The condition may be exacerbated by heat, stress, or physical activity. Unlike other forms of hyperhidrosis, isolated hyperchlorhidrosis is specifically linked to the chloride ion imbalance.

Diagnosis

The diagnosis of isolated hyperchlorhidrosis is primarily clinical, based on the characteristic symptoms and family history. Genetic testing can confirm the diagnosis by identifying mutations in the relevant genes. Sweat tests may also be conducted to measure the chloride ion concentration in the sweat, which is typically elevated in affected individuals.

Management

Management of isolated hyperchlorhidrosis focuses on controlling the symptoms. Treatment options may include topical antiperspirants, oral medications that reduce sweating, and in some cases, surgical interventions such as sympathectomy. Lifestyle modifications, such as wearing breathable clothing and using absorbent materials, can also help manage symptoms.

Prognosis

The prognosis for individuals with isolated hyperchlorhidrosis varies. While the condition is chronic, it is not life-threatening. With appropriate management, most individuals can lead normal lives, although they may continue to experience challenges related to excessive sweating.

See Also

• Hyperhidrosis
• Chloride channel
• Autosomal recessive disorder