If the diagnosis for essential hyperhidrosis is an exclusion diagnosis, it will not be a difficult clinical case.
 
The very numerous causes of secondary hyperhidrosis are usually present with evident clinical characteristics.
 
In practice, a bilateral palmo-plantar hyperhidrosis stimulated by emotional stress in a healthy teenager will leave no doubt as to what the diagnosis is.
Diagnostic
Marc FITOUSSI M.D.
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