Easing excessive sweating

Clinical scenario
A 28-YEAR-OLD male presents with excessive axillary sweating since his teens. He is very conscious of the constant ‘wet patch’ in his underarms throughout the day (Figure 1). The sweat drips down the torso and dampens the clothing to the point where he will only wear black shirts to hide the sweat stains. No deodorants or antiperspirants control the sweating. What is he suffering from and how would you manage him?

Essential hyperhidrosis
Essential hyperhidrosis (EH)