The patients have sweaty hands, often cold and may even be dripping with sweat. It has significant social and psychological impact, forcing the patients to hide their hands in their pockets or under their arms and avoid social contact. The students face serious problem in examinations as their copies get wet. There may be problems in the job also. Over all, it decreases the self-confidence of the patients, who are constantly under pressure how to hide this problem. When meeting clients, colleagues and other professionals, patients with Palmar hyperhidrosis face extraordinarily difficult task of how to make their hands dry. Often, the hand shake is avoided. When writing on paper, they need to keep a napkin underneath their hand to protect whatever they are writing on.

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