The writer was consulted by a man, thirty years of age, who was apparently in excellent health, yet who complained of a very troublesome sweating on the face. The sweat would roll down in pearls as soon as he would commence chewing his food, it being especially profuse on both cheeks and at the root of the nose, between the eyes. Milk could not be drank without sweating. The hyperidrosis was followed by a peculiar and disagreeable prickling and stitching sensation, accompanied by redness and swelling of the parts named. The swelling was distinctly aggravated by chewing salted meats or fish. This troublesome affection was so disagreeable that he was obliged when eating continually to wipe his face, and as it was obstinate to treatment he was nearly in despair. Lotions of carbolic acid and sublimate gave some relief; finally a tannin salve and avoidance of salted food caused sweating to cease. The patient had always been a lover of salted fish, and had consumed it in large and unusual quantities. He claimed to know several persons in his neighborhood who lived upon salted fish and who suffered from the same affection, but to a less degree. The usual cases of hyperidrosis which come under the observation of physicians are referred to the hands, feet, or axillae. Cases of sweating of one side of the face are mentioned in the literature. Donders describes such a case where sweating took place during chewing. Drabowski mentions a similar case which was attributed to a wound. Riehl found at the necropsy of such a case both macroscopic and microscopic changes in the superior ganglion of the sympathetic. Pikrowski details a case, where, on eating, the whole right side of the face would break out into a profuse sweat.
Frank H. Pritchard.
J Cutan Genito-Urin Dis.
Svensson I. A Case of Local Hyperidrosis of the Face. Arch Dermatol. 1992;128(3):434. doi:10.1001/archderm.1992.01680130156037