Perianal Hyperhidrosis Successfully Treated with Botulinum Toxin A

Leandra Reguero Del Cura; Marta Drake Monfort; Adrian De Quintana Sancho; Marcos Antonio González López

doi:10.1159/000515492

Perianal Hyperhidrosis Successfully Treated with Botulinum Toxin A

Skin Appendage Disord. 2021 Aug;7(5):404-407. doi: 10.1159/000515492. Epub 2021 Apr 28.

Authors

Leandra Reguero Del Cura¹, Marta Drake Monfort¹, Adrian De Quintana Sancho¹, Marcos Antonio González López¹

Affiliation

¹ Division of Dermatology, University Hospital Marqués de Valdecilla (U.H.M.V), Santander, Spain.

Abstract

Perianal hyperhidrosis (HH) is a rare form of primary focal HH and may become a major problem for the patient with a significant psychosocial burden and negative impact on the quality of life. Botulinum toxin injections are widely used as a second-line treatment option for axillary, palmar, and plantar HH with a good safety profile. Herein, we pre-sent a case of primary perianal HH successfully treated with Botulinum toxin A at a dose higher than that previously reported in literature, with a longer response, a higher degree of satisfaction, and no adverse effects. Moreover, we review the main aspects of the perianal anatomy that are essential to carry out the technique correctly and make dermatologists achieve expertise with the procedure.

Keywords: Botulinum toxin A; Dermatology; Hyperhidrosis; Intradermal; Therapy.

Publication types

Case Reports