Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

Is it the plastic surgeon who must treat bromhidrosis?

Raphael de Faria Carmo

Conflict of interest

What is bromhidrosis?

I declare that I have no conflict of interest

What is bromhidrosis?

What is bromhidrosis?

  • Excessive odor

  • Predominates in the axillary and groin regions

  • Patients usually exaggerated in their daily hygiene

  • Difficult clinical control

Epidemiology

  • The incidence of bromhidrosis is unknown

  • Predominantly in men

  • After puberty

  • Rare in the elderly

Histopathology

  • Usually results from bacterial degradation of apocrine secretions or keratin.

  • Bacterias: Corynebacterium, Staphylococcus and Cutibacterium

  • The numbers of apocrine and eccrine glands were about equal (Normal: 1:8)

Images

Diagnosis

  • Subjective

  • Defined by the impact caused:
  • self view
  • social interactions
  • quality of life

  • Worse with exercise and heat (sweat)

  • Intact skin or alterations due to excessive hygiene or sweating

Differential diagnosis

  • Differential diagnosis with olfactory hallucinations, body dysmorphic disorder

  • It is important to evaluate the odor in the consultation

  • If the smell is noticed by others

  • And psychiatric history

Treatment - General approach

Treatment

  • Improve hygiene and reduce bacteria:
  • Daily cleaning, no excess
  • Antibacterial soaps
  • Ph-altering formulations

  • Reduce sweating:
  • Botulinum toxin
  • Use of antiperspirants
  • Transthoracic sympathectomy

  • Hair Removal:
  • Reduced local bacterial colonization

Treatment - refractory bromhidrosis

Refractory bromhidrosis

  • Liposuction with or without technologies

  • Surgical excision

Liposuction

Excision

My practice

Why?

Learn more about creating dynamic, engaging presentations with Prezi