Excessive sweating of the palms, axillae, and soles can be managed with intradermal injections of botulinum toxin as an alternative to mote aggressive
surgical therapies such as sympathectomy and less effective techniques including topical antiperspirants. The dosage and injection techniques can be optimized to provide several months of freedom from this troubling disorder.

FOCAL IDIOPATHIC and episodic eccrine sweating of the palms and soles troubles afflicted individuals with a social curse that can only be imagined by those of us whose hands dampen only occasionally.