Etiology and management of axillary bromidrosis: a brief review

Background  Axillary bromidrosis is a distressing condition that poses significant social embarrassment in almost all the countries over the world. However, its definite etiology has not been generalized yet. There have been a lot of treatments for bromidrosis, which can be roughly divided into two...

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Bibliographic Details
Published in:International journal of dermatology 2008-10, Vol.47 (10), p.1063-1068
Main Authors: Mao, Guang-Yu, Yang, Song-Lin, Zheng, Jiang-Hong
Format: Article
Language:English
Subjects:
Axilla
Biological and medical sciences
Dermatology
Humans
Hyperhidrosis - etiology
Hyperhidrosis - therapy
Medical sciences
Odorants
Sweat Glands - physiology
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Summary:Background  Axillary bromidrosis is a distressing condition that poses significant social embarrassment in almost all the countries over the world. However, its definite etiology has not been generalized yet. There have been a lot of treatments for bromidrosis, which can be roughly divided into two types: conservative management and radical surgical therapy. In order to summarize the possible causes of axillary bromidrosis, a brief review of the literatures regarding bromidrosis was performed. Methods  An English literature search from 1975 to June 2007 was completed with references to treatments for bromidrosis. A total of 29 papers about the treatment were selected to review. After a close reading, all the extracted information was imported into Microsoft Excel. Results  Many therapies were carried out to treat bromidrosis, including nonoperative and operative ones. Almost all the authors thought that the nonoperative management, such as topical antiperspirants, systemic agents, and iontophoresis, did not have a permanent effect. Most surgeons (90%) chose surgical methods to remove axillary sweat glands for bromidrosis and 90.69% of the axillae had good results. Conclusion  Axillary sweat glands may play the most important role in the etiology of bromidrosis. In addition, axillary microorganism, hormone, and inherent also contribute to bromidrosis.
ISSN:0011-9059
1365-4632
DOI:10.1111/j.1365-4632.2008.03735.x