Cranial Facial Hyperhidrosis: Excessive Sweating that Dampens Daily Life

A patient recently came to me with complaints of excessive sweating from the scalp. This is an unusual form of hyperhidrosis called cranial facial hyperhidrosis. It is similar to people who have sweaty palms and sweaty armpits.

In this particular patient’s case, it was interfering with the quality of their life. It was not related to their being overheated, and it was getting worse. The patient did not want to have an excessively sweaty scalp for no reason at all.

I’ve been consulting with this patient’s internist on the best course of treatment. I will most likely prescribe an oral agent called Glycopyrrolate.