BOTULINUM TOXIN A INJECTION AS FOREHEAD HYPERHYDROSIS THERAPY: A CASE REPORT

Abstract

Craniofacial hyperhidrosis is a condition of excessive sweating in the head and face area, which can impact the quality of life. This condition can occur in individuals who experience emotional stress, excessive physical activity, without being accompanied by other pathogenic causes. The incidence of craniofacial hyperhidrosis is 9.41% of all cases of primary hyperhidrosis, with a predominance in males, and onset in young adults. The following reports a 28-year-old woman with complaints of excessive sweating on the face area, especially in the forehead since puberty. The complaints felt when the patient does light activities such as walking and when the patient feels stressed. Iodine starch minor test in the patient's forehead showed a positive result with purplish color. HDSS assessment shows severe hyperhidrosis results with score 3. Botulinum toxin A injection was performed on the patient and significant improvement were found. Evaluation in the 2nd and 4th weeks with iodine starch minor test on the patient’s forehead did not show a purplish color. HDSS assessment shows mild hyperhidrosis results with score 1. Botulinum toxin A injection in patients is known to be quite safe, fast, and effective with minimal side effects. Several studies mention an increase in quality of life as well as emotional and physical well-being in focal hyperhidrosis patients who received botulinum toxin A injection therapy.