The most common type is primary hyperhidrosis, which has no known underlying physical cause. "Primary hyperhidrosis is due to overactive signaling of sweat glands to secrete sweat without stimuli," explains New York City-based dermatologist Dhaval Bhanusali, MD.without any explicable reason . This kind of hyperhidrosis can occur at any given time or during any season of the year, even if the person is not physically warm or is completely at rest.
Of these two types, there are also different degrees of hyperhidrosis that experts differentiate between: mild, moderate, and severe. "If you sweat through a shirt when you are at rest in normal temperature, I would say that is moderate hyperhidrosis," Dr. Talakoub says. "If you have sweat dripping down your hands and through your socks [when you're] at rest with no [other] triggers, then that is severe hyperhidrosis.
Because sweat is not really a quantifiable thing, like blood pressure, it's really complicated to measure someone's sweat levels throughout any given day. With enough time and "sophisticated equipment" called an evaporimeter — which measures the rate of water evaporation — it is doable, but even so, "there's a big variability in how much people sweat under similar situations," Dr. Gorenstein says.
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