Systemic anticholinergic medications (eg, oxybutynin), local anticholinergic injectable medications (eg, botulinum toxin), or surgical sympathectomy may be used to treat hyperhidrois.
Surgical sympathectomy for primary focal hyperhidrosis of the axilla uses electrocoagulation to target the ☆thoracic sympathetic trunk at the T2 sympathetic segment.
※sweat glands are part of the sympathetic pathway but are innervated ☆by cholinergic fibres
anatomy
pharmacology
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