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Severe bromidrosis

Discussion in 'General Issues and Discussion Forum' started by amandaB, May 12, 2006.

  1. amandaB

    amandaB Member


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    First post for me.
    I have a patient with severe bromidrosis. The planter of both feet are white,mascerated. He has tried potassium permanganate footbaths and surgical spirit rubs but no effect. I've also advised re footwear and socks.
    The patient is getting quite desperate now so any help would be much appreciated. I'm sure i've read about surgery to remove sweat glands, am i wrong on that . It does seem an extreme measure but the patients condition is severe. GP did'nt offer any further suggestions.
    regards, Amanda
     
  2. DaVinci

    DaVinci Well-Known Member

    Try iontophoresis or get him in for botox injections.
     
  3. Admin2

    Admin2 Administrator Staff Member

  4. amandaB

    amandaB Member

    thanks for those suggestions. I'm not sure that botox injections are licensed in uk for use on feet though, but i will try iontophoresis.
    regards, Amanda
     
  5. R.E.G

    R.E.G Active Member

    Amanda.

    No guarantee but I have had some success with CCS foot spray, cheap and readily available in the UK.

    Bob

    The procedure you refer to is a sympathectomy, cutting the nerve at the spinal cord. Do his hands also sweat?
     
  6. kirsten

    kirsten Member

    Socks and Bromidrosis

    What about "COOLMAX" socks? These are polypropylene and wick moisture away from the foot to the outer sock or shoe. I recommended some to a patient 2 weeks ago and although I haven't seen him again yet his wife told me that the socks are working well. When he takes off his footwear at the end of the day the outer socks are soaked but his inner sock(the polyprop. next to his skin) is dry as are his feet.
    Worth a try.
    Usually available from your outdoor shops.
    Kirsten
     
  7. Bill

    Bill Welcome New Poster

    Have you considered pitted keratolysis? It requires antibiotic therapy
     
  8. davidh

    davidh Podiatry Arena Veteran

    Sikoped Insoles (available from Canonbury).
    Work well, quickly, and cheap.
     
  9. Slava

    Slava Member

    Aluminium Chloride

    20% Aluminium Chloride solution (like Driclor) seems to work well.
     
  10. amandaB

    amandaB Member

    Thanks for all suggestions. All very helpful. regards, amanda
     
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