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What is Apocrine Bromhidrosis? miraDRY at and Dr Karamanoukian
Tuesday, August 20, 2013



Unlike eccrine bromhidrosis, apocrine bromhidrosis is believed to be more common in dark skinned individuals.  Epidemiologic studies have shown that individual of African ancestry have the largest and most active apocrine glands based on the histological or pathological sections of their skin. 


Apocrine bromhidrosis is believed to be associated with a positive family history of hyerhidrosis in some ethnic groups, such as in Asians.  Apocrine bromhidrosis occurs typically after puberty and is more common in men than women.  The higher likelihood  that apocrine bromhidrosis is more common in men is probably related to a greater number of apocrine gland activity in men. 


The most common types of bacteria found in patients with apocrine bromhidrosis are the Corynebacterium species.  Corynebacteria produce the fatty acid breakdown products that are perceived as pungent, rancid and musty by individuals around the patient who is having this brromhidrosis.


The apocrine glands are limited primarily in the underarms, breast region and groin. Apocrine sweat is odorless until it interacts with bacteria on the skin. Once the bacteria act on the oily secretions, they produce ammonia and fatty acids as byproduct.  These are the agents that cause the offensive odor in bromhidrosis.


For more evaluation about hyperhidrosis and bromhidrosis and to discuss the latest treatment options for bromhidrosis (miraDry procedure), contact Hratch Karamanoukian, MD FACS at the Center for Excessive Sweating at or or call 716-839-3638. or are partners with .





Call and make an appointment for consultation to see if you are a candidate for the miraDry procedure and request a free copy of Dr. Karamanoukian's book about the miraDry procedure - 716-839-3638.



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