Abstract
A 26-year-old otherwise healthy woman had had continuous excessive sweating of palms and soles for 10 years. She was unable to work for 9 months because of the sweating. Inpatient treatment, including iontophoresis and topical aluminium chloride, was ineffective and abandoned after 6 weeks. Neurological examination was unremarkable apart from excessive hyperhidrosis. There were no other signs or symptoms of autonomic dysfunction. Nerve conduction studies, sympathetic skin responses, and autonomic tests of cardiovagal innervation and of sympathetic vasomotor function were normal.
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