Bromhidrosis eccrine L75.0

Unpleasant odour due to secretion of eccrine sweat of various causes.

• Keratogenic eccrine bromohidrosis: Excessive hyperhidrosis leads to a softening of the stratum corneum, which is then decomposed by bacteria with consecutive odour formation (bromohyperhidrosis).
• Metabolic: Many hereditary disorders of amino acid metabolism lead to the secretion of abnormally smelling sweat, e.g. phenylketonuria, maple syrup disease, methionine malabsorption syndrome, Smith-Strand syndrome, etc.
• Exogenous: excretion of odour-intensive substances (e.g. garlic) contained in foodstuffs or medicines.

• Keratogenic eccrine bromohidrosis: mainly in young and middle age, occasionally also in children, preferably male sex.
• Metabolic eccrine bromohidrosis: From birth.

• Keratogenic eccrine bromhidrosis: mainly plantar and palmar, intertriginous spaces.
• Metabolic and exogenous eccrine bromhidrosis: Generalized occurrence.

• Keratogenic eccrine bromohidrosis: Strict personal hygiene, regular change of stockings, wearing adequate footwear (no sneakers, but open shoes in summer; leather soles), regular washing with antibacterial acidic soaps or washing lotions (e.g. hydroderm washing lotion; dermowas) Use of deodorants that reduce bacterial flora, tap water iontophoresis, solutions containing aluminium hydroxide (e.g. 20% aluminium chloride hexahydrate solution R005 or R006 ), zinc salts.
• Metabolic eccrine bromhidrosis: treatment of the underlying metabolic disorder.
• Exogenous eccrine bromhidrosis: avoidance of appropriate foods or medications.