Bromhidrosis, apocrine L75.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Pronounced secretion of unpleasant smelling sweat mainly by apocrine axillary sweat glands.

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Decomposition of organic sweat components of apocrine sweat by coryneform rod bacteria. Short-chain fatty acids and ammonia are responsible, among other things, for the smell of sweat. Lack of hygiene favours the occurrence.

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Occurring at the age of sexual maturity. Blacks are more frequently affected than whites. East Asians are extremely rarely affected (population-related differences in the development of apocrine sweat glands).

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Regular washing with antibacterially effective acidic soaps or washing lotions (e.g. Hydroderm washing lotion, Dermowas N liquid concentrate). Shaving of the armpit hair, laser depilation if necessary. Use of a commercially available deodorant, which reduces the bacterial flora and in some cases also diminishes the apocrine gland function. Solutions or gels containing aluminium hydroxide can also be helpful (e.g. 20% aluminium chloride hexahydrate solution R005 or R006 or gel R004 ). At the same time use drying powders (zinc, talcum) or powder sprays. Alternatively tannic acids like tannin (Tannosynt Lotio/Powder). Clarify whether medication or food is the cause of the odour formation.

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Improvement in old age through involution of the apocrine sweat glands.


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Last updated on: 29.10.2020