is chromhidrosis contagious is chromhidrosis contagious

AMA Arch Derm Syphilol 1954; 69: 449471. If sweat changes color, contact a doctor, who may rule out other causes before diagnosing chromhidrosis. 2018; doi:10.1016/j.jaad.2018.07.002. The blue colour was present continuously, but was more obvious after physical activity. Infectious Pseudochromhidrosis: A Case Report and Literature Review Combined use of ranitidine (H2-recepter antagonist) and lansoprazole (proton pump inhibitor) may trigger Bacillus colonization, as reported by Hill et al. overgrowth upon stopping ranitidine. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Pigments of Staphylococcus aureus, a series of triterpenoid carotenoids. You can take steps to avoid contagious or infectious skin diseases. Clin Auton Res 2015; 25: 153159. Cases of red, blue, green, yellow, pink, and black sweat have been reported. J Am Acad Dermatol 1981; 4: 481482. Three different conditions can result in chromhidrosis (2): Apocrine chromhidrosis is an intrinsic condition limited to areas with apocrine glands (e.g. A more common type of discolored sweat is called pseudochromhidrosis. At the time of presentation, the patient was approximately 7 months pregnant with her first child. "Your doctor can run the necessary tests to rule out more serious causes of colored sweat, such as infection, jaundice, hematidrosis (bloody sweat) and poisoning," Hadley King, MD, New York City-based board-certified dermatologist, tells LIVESTRONG.com. Some of them are. 3. Williamson NR, Simonsen HT, Ahmed RA, Goldet G, Slater H, Woodley L, et al. Clinical photographs. J Pak Med Assoc 2013; 63: 11921194. In other words, it's not your sweat that's colored the color comes from the way your sweat interacts with other things outside your body. It's only when sweat encounters bacteria on the skin that a smell can emerge. However, stress or embarrassment about the coloration can lead to depression and anxiety. Conditions that might cause it include: Mayo Clinic does not endorse companies or products. Epidermolysis bullosa, a connective tissue disorder that causes fragile skin that blisters and tears easily. Christoffer Aam Ingvaldsen1,2, Truls Michael Leegaard2,3, Gunnhild Kravdal4 and Cato Mrk5. Hines Dermatology Associates Inc., Attleboro, MA, Highly regarded dermatologist and dermatopathologist. Chromhidrosis - UpToDate to grow or to produce its pigment. Williamson et al. Clinicals pearls in dermatology 2017. Treatment approaches and outcomes associated with the use of abobotulinumtoxinA for the treatment of hyperhidrosis: A systematic review. Eccrine chromhidrosis may be caused by something internal, like an infection or excess bilirubin (an orange-yellow pigment formed in the liver), or external, like the ingestion of certain substances, Dr. Friedmann says. The same authors also described resolution of both the blue skin discolouration and the Bacillus spp. Lipofuscin is an intra-lysosomal polymeric material that gains colour as it oxidizes, with higher oxidation states resulting in a darker colour (1, 68). Bull Soc Fr Dermatol Syphiligr 1965; 72: 444447. Merritt K, Jacobs NJ. Learn more here. IPCH following administration of an antihistamine. A literature search of PubMed, Cochrane Library, and Google Scholar was performed in the period November 2018 to January 2019. Avalos J, Carmen Limon M. Biological roles of fungal carotenoids. There is a problem with Pigments do this by interfering with the host immune system and/or provoking inflammatory damage to cells and tissues (83). Ami T. Allscripts EPSi. 2003-2023 International Hyperhidrosis Society. However, studies do not mention the exact pigments causing blue and brown/black discolouration: B. cereus has been shown to produce both a green (84, 88) and a red pigment (85). Polat M, Dikilitas M, Gozubuyukogullari A, Alli N. Apocrine chromhidrosis. triggered by topiramate (an antiepileptic drug) (38). Chromhidrosis - About the Disease - Genetic and Rare Diseases Can poor sleep impact your weight loss goals? face, axillae, anogenital area, and breast areolae) that excrete small amounts of oily sweat (1, 3). IPCH case reports (Table I) did, however, have blue-coloured sweat (which could potentially be pigments from B. cereus). Haematohidrosis. Elsevier; 2021. https://www.clinicalkey.com. The colour of S. marcescens IPCH is explained by its production of a red pigment, named prodigiosin, which gives the red/pink colour on the skin surface (46). Eccrine chromhidrosis is generalized discolouration that occurs secondary to ingestion of water-soluble drugs (2, 27, 28), dyes (2931), or due to breakdown products from eccrine glands (2, 3235). Chatfield CH, Cianciotto NP. Veysseyre F, Fourcade C, Lavigne JP, Sotto A. Bacillus cereus infection: 57 case patients and a literature review. Chromhidrosis can subdivide into three categories: Apocrine chromhidrosis, eccrine chromhidrosis, and pseudochromhidrosis (pseudo-eccrine chromhidrosis). American Academy of Dermatology Association. Therapy with Botox injections is effective at reducing sweat. The type of hyperhidrosis that usually affects the hands, feet, underarms or face causes at least one episode a week when you're awake. Dermatol Online J 2014; 21. pii: 13030/qt73k8k695. In pseudochromhidrosis, a far more common disorder, sweat becomes colored after secretion from the sweat gland. Bilateral facial apocrine chromhidrosis. Yoshida R, Kobayashi S, Amagai M, Tanaka M. Brown palm pseudochromhidrosis. Promethazine was stopped 1 month after presentation with no change in colour intensity. Some people experience a warm or prickly feeling caused by stress or physical activity before colored sweat appears. While it isnt life-threatening, chromhidrosis often causes emotional distress. Indian J Dermatol 2016; 61: 454457. Those substances might include water-soluble dyes, heavy metals (like copper), excess food coloring or flavoring, as well as certain medications (rifampin, an antibiotic; quinines, an antimalarial; and levodopa, a dopamine precursor used to manage Parkinson's). Stomach flu: How long am I contagious? - Mayo Clinic However, when it does develop, there are ways to improve its appearance, and there are some treatments that are safe during pregnancy. In: Triage Protocols for Aging Adults. Articles in English, German, French, Dutch, and Danish were included. Since bacteria are potential causative agents of pseudochromhidrosis; infectious pseudochromhidrosis (IPCH) is becoming an increasingly used term in literature (1, 15). Interestingly, this brown pigment production was enhanced when grown in the presence of tyrosine, which suggests that it is a melanin. You may sweat so much that it soaks through your clothes or drips off your hands. Chang YC, Anderson N, Soeprono F. Bilateral facial pigmentation. Interestingly, our patients unspecified hypohidrotic condition could, in fact, have been intensified by the use of promethazine: Zahejsky & Rovensky reported a significant reduction in palmar sweating after administration of promethazine in their clinical study (101). Cardiovascular health: Insomnia linked to greater risk of heart attack. Canale-Parola E. A Red pigment produced by aerobic sporeforming bacteria. Biosynthesis of the red antibiotic, prodigiosin, in Serratia: identification of a novel 2-methyl-3-n-amyl-pyrrole (MAP) assembly pathway, definition of the terminal condensing enzyme, and implications for undecylprodigiosin biosynthesis in Streptomyces. The color may only affect sweat in certain areas or sweat all over the body. Apart from B. cereus, previous studies have also described pigment production in many other Bacillus spp. International Hyperhidrosis Society. Talk to a dermatologist about treatment if seborrheic keratosis affects your appearance. In order to assess for a potential underlying cause of B. cereus growth, she was scheduled for a second appointment. Indian J Dermatol 2017; 62: 675. Hematidrosis (Sweating Blood): Symptoms, Causes, Treatment - WebMD An accurate diagnosis is the first step to getting this rare form of psoriasis under control and getting relief. Bromhidrosis: Causes, Symptoms, and Treatment DermNet Chromhidrosis. Prez Tato B, Zamora Martinez E, Snchez Albisua B, Prez Gonzlez YC, Polimn Olabarrieta I, Marinero Escobedo S, et al. Rifampin and red urine. pH measurements of sweat were considered normal (mean/minmax: 5.6/5.16.5). Accessed June 29, 2022. Hyperhidrosis (hi-pur-hi-DROE-sis) is excessive sweating that's not always related to heat or exercise. A novel red pigment from marine Arthrobacter sp. They may then run or request tests to rule out other causes of the discoloration. Anyone who has chromhidrosis should speak with a healthcare provider if they start to experience symptoms of emotional distress, depression, or anxiety. Pseudochromhidrosis. Currently GARD is able to provide the following information for Chromhidrosis: Population Estimate: This section is currently in development. Kaya TI, Delialioglu N, Yazici AC, Tursen U, Ikizoglu G. Medical pearl: blue underpants sign a diagnostic clue for Pseudomonas aeruginosa intertrigo of the groin. The main symptom of hyperhidrosis is heavy sweating. Case reports of infectious pseudochromhidrosis and causative microorganisms. Pseudochromhidrosis. Other than. This theory is strengthened by studies indicating that hypohidrosis could be an adverse effect of topiramate (38, 98100). Matarasso SL. [A woman with blue sweat]. J Invest Dermatol 1961; 36: 259272. Facial and axillary apocrine chromhidrosis. List of rare skin diseases: Pictures, symptoms, and treatments The colour of the sweat depends on the dye, drug, or chemical involved, with red, blue, orange, brown, yellow, green, black, and white sweat reported. The defining symptom of chromhidrosis is the production of colored sweat. Triwongwaranat D, Kasemsarn P, Boonchai W. Green pigmentation on the palms and soles. Int J Dermatol 2014; 53: e473475. Nosanchuk JD, Stark RE, Casadevall A. Fungal melanin: what do we know about structure? Marshall JH, Wilmoth GJ. Your body has two types of sweat glands, apocrine and eccrine. Tuberculosis - Symptoms and causes - Mayo Clinic Appl Environ Microbiol 2002; 68: 40954101. No skin discolouration was seen on their child. You may also get a fever. Chromhidrosis is a rare, chronic condition characterized by color in your sweat. Four bacteria are known to be involved in infectious pseudochromhidrosis: Bacillus spp. J Bacteriol 1981; 147: 900913. Pigment production is known to occur in Bacillus spp. |, Creative Commons Attribution-NonCommercial 4.0 International License. Wang A, Wysong A, Nord KM, Egbert BM, Kosek J. Chromhidrosis: a rare diagnosis requiring clinicopathologic correlation. Pediatr Dermatol 1995; 12: 4850. Sweating is a way to regulate body temperature. Good hygiene including hand-washing, avoiding close contact with . J Am Acad Dermatol 1989; 21: 418420. Aeruginosa derives from the Latin word for copper rust, referring to the characteristic, pseudomonal discolouration (65). Promethazine influences these sweat regulatory centres in a way that is not fully understood (101). Based on the literature review, bacteriological tests should be the first diagnostic step when dealing with coloured sweat and/or atypical skin discolouration. Arch Dermatol 1992; 128: 275276. Koley S, Mandal RK. Derivatives of the skin. Some people with chromhidrosis may report a feeling of warmth or a prickly sensation before the onset of colored sweat. This bacterium also hydrolysed tyrosine. The treatment options currently available focus on reducing symptoms as much as possible, but there's no cure. Infectious Pseudochromhidrosis: A Case Report and Literature Review, Copyright Acta Dermato-Venereologica. Coughing up blood or mucus. Banerjee D, Chatterjee S, Banerjee UC, Guha AK, Ray L. Green pigment from Bacillus cereus M(1)(16) (MTCC 5521): production parameters and antibacterial activity. Glaser DA, et al. Another important observation in the current case report was that B. cereus colonized and produced pigments in both adults, but not in the newborn. The scope of this article was, therefore, to report another case of IPCH and to review the literature. Potential triggers of infectious pseudochromhidrosis (IPCH). Chest pain, or pain with breathing or coughing. Sweating a different color -- like yellow, blue, green, or black -- is a different condition called chromhidrosis. Stomach Flu: Is It Contagious, and How Long Does It Last? - Healthline It could be removed with soap and water; however, it was more easily removed with alcohol wipes (Fig. Heider SA, Peters-Wendisch P, Wendisch VF. People with chromhidrosis may have more lipofuscin, or lipofuscin that is more oxidized, than others. Chromhidrosis Necrobiosis lipoidica Contacting a doctor Summary The skin is the largest organ of the human body. Valeru SP, Rompikuntal PK, Ishikawa T, Vaitkevicius K, Sjling A, Dolganoy N, et al. How Norovirus Spreads | CDC The nervous system automatically triggers sweat glands when your body temperature rises. An ashen hue was observed primarily on hands, feet, and neck (female patient), and right pectoral region (male patient). Cox NH, Popple AW, Large DM. In terms of pathogenic Bacillus spp., B. anthracis is the only obligate pathogen (where cutaneous anthrax represents 95% of cases worldwide) (53). Here's what experts have managed to suss out about this puzzling skin condition so far: Apocrine, eccrine and pseudochromhidrosis each show up a bit differently and have their own underlying causes, Daniel Friedmann, MD, board-certified dermatologist at Westlake Dermatology in Austin, Texas, tells LIVESTRONG.com. Singal A, Thami GP. For evaluation of abnormal colored sweat or any other skin problem, contact our, Current and prospective patients can also. All rights reserved. Whether promethazine is the sole trigger is currently unknown. The secreted pyomelanin pigment of Legionella pneumophila confers ferric reductase activity. Please select your country where you live. That means the norovirus infection can easily spread to others. It is well known that the bacteria can colonize moist skin surfaces and can cause a greenish discolouration of skin, nails, clothes, and surgical dressings (48, 62, 64, 65). In other circumstances, health issues such as infection and liver problems may cause sweat to change color. All tests were normal, apart from a slightly increased alkaline phosphatase (ALP) of 122 U/l (reference range 35105 U/l). Clin Dermatol 2015; 33: 483491. Yilmaz E, Savk E, Onc S, Glec GU, Ertugrul B, Sakarya S, et al. Initially, 2 blood samples were performed at her general physicians office with a 1-month interval. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. 7th ed. If you are a Mayo Clinic patient, this could A single copy of these materials may be reprinted for noncommercial personal use only. Link JL (expert opinion). Med Mal Infect 2015; 45: 436440. Coronavirus Incubation Period: How Long and When Most Contagious - WebMD What About Chromhidrosis During Pregnancy? Chromhidrosis - Wikipedia Mayo Clinic; 2021. There are documented differences in the pH and hydration between paediatric and adult stratum corneum (102). You can learn more about how we ensure our content is accurate and current by reading our. B. cereus is an occasional pathogen that can cause various infections mostly associated with its secreted toxins (5255). The condition is harmless, though, so pregnant people shouldn't worry about blue or purple toilet seats, although it's something you can certainly mention to your ob-gyn. 2017; doi: org/10.1016/j.disamonth.2017.03.003. If a person notices any coloration, they should consult a doctor. Advertising revenue supports our not-for-profit mission. It usually affects the palms, soles, underarms and sometimes the face. Oxidation of lipofuscin, as well as the increase in number of lipofuscin granules, are thought to cause the skin discolouration (4, 5). Bilgin I, Kelekci KH, Catal S, Calli A. Late-onset apocrine chromhidrosis. information is beneficial, we may combine your email and website usage information with Here's What Your Body's Trying to Tell You. Role of melanin pigment in expression of Vibrio cholerae virulence factors. If a person with chromhidrosis experiences any symptoms of emotional or psychological distress, they should let a healthcare provider know. Bacillus cereus, a serious cause of nosocomial infections: epidemiologic and genetic survey. that produced black pigment (with the proposed name C. nigricans) (97). Int J Dermatol 2010; 49: 562564. Weismann K, Poulsen AG, Moller AF, Kobayashi T. A man with a reddish stained wash cloth. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. July 13, 2022. Certain situations stimulate the apocrine glands and make this discoloration more likely to occur: In people with eccrine chromhidrosis, the discoloration usually happens because the person has ingested: Pseudochromhidrosis is more common, and it occurs when the skin comes into contact with: The IHS also point to other health issues that can cause sweat to change color: It is a good idea to see a doctor about colored sweat. reviewed pigment production in Corynebacterium spp., and reported that carotenoid production is one of many important virulence factors (59). 1). Prevention Researchers estimate that people who get infected with the coronavirus can spread it to others 2 to 3 days before symptoms start and are most contagious 1 to 2 days before they feel sick. P. aeruginosa may produce multiple water-soluble pigments, most commonly pyocyanin (blue) and pyoverdine (dim muddy yellow with a green fluorescence) causing the distinguishing blue-green hue (36, 64, 65, 87). 4. Mapara A TV, Khandelwal AK. Chromhidrosis is a rare condition characterized by the secretion of colored sweat. Learning the ABCs of melanoma could save your life. J Bacteriol 1970; 102: 871873. Yamada-Ankei T, Iwasaki H, Mori T. Production of copper coproporphyrin III by Bacillus cereus. To provide you with the most relevant and helpful information, and understand which This may be startling or alarming to anyone who isnt aware of the condition. Chromhidrosis is quite rare with limited information about the percentage of people potentially affected. eat food or drink liquids that are contaminated with norovirus, touch surfaces or objects contaminated with norovirus and then put your fingers in your mouth, or. Symptoms usually appear within one to two days of exposure. Sometimes excessive sweating is a sign of a serious condition. Some people theorize that hormonal changes or certain ingredients in prenatal vitamins are behind the phenomenon, but we just don't have a clear answer. Accepted Oct 14, 2019; E-published Oct 14, 2019, Corr: Christoffer Ingvaldsen, Department of Plastic and Reconstructive Surgery, Rikshospitalet, Oslo University Hospital, Postboks 4950 Nydalen, NO-0424 Oslo, Norway. Chromhidrosis - PubMed If you experience sweating in an unusual hue, talk to your healthcare provider. The end result is usually nothing more than sticky skin and the occasional pit-stained tee but for a small percentage of people, sweating can also leave behind a blue toilet seat. In: Dermatology: An Illustrated Colour Text. Curr Genet 2015; 61: 309324. https://www.sweathelp.org. Dr. Hines has extensive experience in both common and rare conditions. All swabs and skin scrapings were negative for fungi. Cutis 2010; 86: 305308. They are a result of evolutionary competition to overcome hosts, other microorganisms, and environmental challenges. Green foot. Burkovski A. Corynebacteria: genomics and molecular biology. Apocrine secretion can be triggered by emotions (stress and anxiety), rubbing of apocrine-heavy areas (friction from clothes) and hot showers and baths, so doing what you can to reduce these triggers practicing mindfulness, wearing breathable clothing, taking lukewarm showers can be a solid first step. Skin examination with a Wood lamp revealed fluorescence on hands, feet, and hair (Fig. If we combine this information with your protected If you're dealing with discolored sweat, schedule a visit with a dermatologist to get answers, rule out more serious conditions, and learn about treatment options. Can your sweat be different colors? | HowStuffWorks Unfortunately, apocrine chromhidrosis is a chronic skin condition symptoms can regress as you age, but there's no guarantee they will. A brilliant case of erythrasma. Pediatr Dermatol 1984; 2: 3840. He had no significant past medical history, underlying dermatoses, and did not use any medication. Her symptoms resemble acquired idiopathic anhidrosis; however, this was not investigated further. Chromhidrosis is a rare chronic condition that causes sweat to turn black, blue, green, yellow, or brown. Indian J Dermatol Venereol Leprol 2012; 78: 756758. Heavy sweating can disrupt your day and cause social anxiety and embarrassment. Mycoses 2006; 49: 388392. Pregnancy is another possible trigger. Fig. Here, learn about home care techniques and medical treatments that can reduce or stop the, Sweating in the area around the vagina is normal, but it can sometimes cause discomfort and irritation. It can occur weeks or years after infection with the TB bacteria. "Finding and stopping the specific cause is paramount.". Keeping the area clean and wearing different clothes can help resolve and. Journal of the American Academy of Dermatology. 6 ThingsYou Sweat Can Tell You About Your Health. Sports + Sweating Playbook Volume 1 Sports Gear & Excessive Sweating: Heres What You Should Know Last Chance: Make Your Year-End Donation Today. Bronchitis itself isn't contagious, but some of its causes are. include protected health information. Epidermis Function: Get to Know Your Skin - Healthline If you are experiencing serious medical symptoms, please see the Pistone G, Bellomo L, Alaimo R, Bongiorno MR. Pseudochromhidrosis: the role of dermoscopy in diagnosis. A type of chromhidrosis known as pseudochromhidrosis may be a slightly more plausible culprit. Other possible reasons for the appearance of colored sweat include infection, blood in the sweat (hematohidrosis), excess bilirubin (an orange-yellow pigment formed in the liver), and/or poisoning. Pseudochromhidrosis occurs when sweat interacts with certain substances, resulting in colored sweat. Many of these pigments are extracellular, and thereby able to colour the skin surface and/or stain clothes (85). You can use pain relievers to feel better. Such psychological effects are likely very familiar to our hyperhidrosis readers and we welcome chromhidrosis sufferers to our community. Lett Appl Microbiol 2014; 58: 2530. Afra S, Makhdoumi A, Matin MM, Feizy J. Microorganisms may produce pigments to increase the likelihood of survival. The B. cereus strains are referred to as B. cereus in the following text. PCRs for dermatophytes were negative. All rights reserved. Several techniques can, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Secondary hyperhidrosis is caused by an underlying medical condition or by taking certain medications, such as pain relievers, antidepressants, and some diabetes and hormonal medications. also described a single strain of C. striatum that produced a soluble, brown pigment (96). nov.: proposed name for a black-pigmented Corynebacterium species recovered from the human female urogenital tract. This content does not have an English version. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. While it doesnt threaten your health, seborrheic keratosis can have a major impact on your confidence and self-esteem. J Clin Microbiol 1978; 8: 105107. Read the reviews and add your own to help us continue to earn this wonderful recognition each year. Apocrine chromhidrosis must be distinguished from pseudochromhidrosis and eccrine chromhidrosis. Urine, stool, saliva, and tears were normal coloured. And the sweating usually happens on both sides of the body. Oliveira et al. Eccrine chromhidrosis resembling clinical features of pompholyx with bile-like greenish pigmentation on the right palm and soles. Wilkes, D., & Nagalli, S. (2020). Leonard RB, Nowowiejski DJ, Warren JJ, Finn DJ, Coyle MB. Under favourable conditions such pigments can result in coloured sweat and/or atypical skin discolouration in patients. Blalock TW, Crowson AN, Danford B. Chromhidrosis is a rare condition with a characteristic presentation of the secretion of colored sweat and was first reported by Yonge in 1709. Pseudochromhidrosis results from contact between sweat and dyes, chemicals, or chromogenic bacteria on the skin. Australas J Dermatol 2016; 57: e2325. As neither MaldiTOF nor 16S rRNA can distinguish properly between the B. cereus, B. anthracis and B. thuringiensis, it was concluded that the isolates belong to the B. cereus group and are non-anthracis. Liu GY, Nizet V. Color me bad: microbial pigments as virulence factors. If medication is the cause of your colored sweat, it should return to normal after the medication is discontinued. Treatment options for the other two types of chromhidrosis are more promising, though: "Eccrine and pseudochromhidrosis may completely resolve once the cause is avoided or treated," Dr. Friedmann says. Contact Dermatitis 2002; 46: 237238. The coloration may be barely noticeable and restricted to a few locations or more. Apocrine chromhidrosis occurs in the areas where . Clin Microbiol Rev 2010; 23: 382398. 4). However, this was less than was subjectively expected. There is no medical cause for this type of hyperhidrosis. and Corynebacterium spp. Red pseudochromhidrosis of the neck. In fact, research reveals hundreds of different pigment-producing microorganisms; bacteria, fungi, and parasites. All bacteriological swabs of female patient (neck, upper arm, axilla, hand, and foot) had heavy growth of 2 strains of Bacillus cereus. The latter approach can stop the sweat from happening for up to 3 days at a time. Dr. Hines has extensive experience in both common and rare conditions. Correlation between pigment production and amino acid requirements in Bacillus subtilis. The pigments causing the colour palette seen in this disorder appear to be of major importance for microorganisms. July 30, 2022. signs artemis is reaching out Likes. Snider DE, Jr., Farer LS. The literature review revealed a repeated theme of micro-organisms producing pigments. Get inside intel, research results, event invites! Primary focal hyperhidrosis. If your bronchitis is caused by bacteria, you usually stop being contagious 24 hours after starting antibiotics. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Please tell us who you are in the hyperhidrosis community. Eccrine chromhidrosis may occur anywhere on the body, as eccrine glands are widely distributed, except in areas such as the lips. For excessive sweating, a range of treatments and strategies can help. Transient hypohidrosis induced by topiramate. Mol Microbiol 2005; 56: 971989. While it can occur at any age, its most often noticeable after puberty. Bronchitis: Causes, Symptoms, Diagnosis & Treatment - Cleveland Clinic

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