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Triggers to attacks of sweating may include: Hot weather Exercise Fever Anxiety Spicy food Causes of secondary localised hyperhidrosis include: The auriculotemporal syndrome (gustatory hyperhidrosis) Stroke Spinal nerve damage Peripheral nerve damage, when it may be associated with cutaneous dysaesthesia Surgical sympathectomy Neuropathy A brain tumour Chronic anxiety disorder Causes of secondary generalised hyperhidrosis include: Obesity Diabetes Menopause Overactive thyroid Cardiovascular disorders Respiratory failure Other endocrine tumours, such as phaeochromocytoma Parkinson disease Hodgkin lymphoma Drugs: alcohol, caffeine, corticosteroids, cholinesterase inhibitors, tricyclic antidepressants, selective serotonin reuptake inhibitors, nicotinamide and opioids What are the clinical features of hyperhidrosis

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