Recurrent Palmar Hyperhidrosis Followed by Vesicular Eruptions and Peeling: A Longitudinal Case Report

Abstract

Background

Recurrent palmar sweating followed by tiny eruptions and subsequent peeling of the skin can be a persistent and troublesome dermatological complaint. This case describes a patient with excessive palmar sweating followed by tiny pimples and peeling, with symptoms aggravated by weather change and particularly during summer.

Case Presentation

The patient presented with recurrent episodes beginning with excessive sweating of the palms, followed by the appearance of tiny pimples, after which peeling of the palmar skin occurred. Itching was reported, particularly when sweating was excessive. The condition was aggravated by changes in weather and during summer. The patient had previously taken homeopathic treatment and had also consulted other physicians. Allergy testing was performed, with a markedly elevated serum IgE of 753 reported. The patient consumed non-vegetarian food approximately 2–3 times weekly. A notable family history was present, with the patient's father reportedly having a similar problem.

Follow-up

At follow-up in June 2026, the patient reported approximately 70–80% improvement, particularly during the rainy season. He had also reduced red meat and stopped gram masala intake. Appetite, bowel movements and sleep were reported as satisfactory. The characteristic relationship between sweating and peeling persisted: when peeling occurred, sweating reduced or stopped, while sweating was present when peeling was absent.

Treatment

The case record documents Natrum muriaticum in relation to suppressed emotions and sensitivity, Silicea as a specific remedy, and Sulphur as an intercurrent remedy. The exact sequence, potency and dosing of these remedies are not available in the supplied case information.

Conclusion

This case demonstrates longitudinal improvement in a recurrent palmar sweating–eruption–peeling syndrome, with 70–80% improvement documented during follow-up. Because this is an uncontrolled individual case and the exact dermatological diagnosis and treatment chronology are incompletely documented, the observations cannot establish treatment efficacy or causation.