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Hyperhidrosis Treatment Study Track

You'll be able to evaluate a patient for focal hyperhidrosis, confirm treatment zones, and plan a botulinum toxin injection pattern with clinical confidence.

What this track covers

This track covers the assessment and treatment planning for primary focal hyperhidrosis of the axillae, palms, and soles using botulinum toxin. It addresses sweat gland physiology, patient selection, mapping techniques, and how to distinguish primary from secondary presentations that need a different workup.

What you will practice

  • Differentiate primary from secondary hyperhidrosis based on history and exam findings
  • Apply starch-iodine testing to define the treatment area
  • Score sweating severity using a validated disease severity scale
  • Plan an injection grid across axillary, palmar, and plantar sites
  • Recognize contraindications and red flags that warrant referral

Simulator scenario

A patient presents with bilateral axillary sweating affecting daily activities; the clinician must take a focused history, apply severity scoring, and decide whether further workup or treatment planning is appropriate.

Board question topics

  • Primary versus secondary hyperhidrosis differentiation
  • Starch-iodine test interpretation
  • Disease severity scoring systems
  • Patient selection and contraindications

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