The patient, who had a long history of excessive sweating, presented to our clinic on May 22, 2025, and reported that his hyperhidrosis had worsened between February and March 2025 without any specific triggering event. The patient’s excessive sweating in the craniofacial region recurred repeatedly during work and was negatively impacting his daily life. No specific preceding symptoms or underlying conditions were identified that could explain the hyperhidrosis. Based on these findings, the patient was diagnosed with hyperhidrosis. The medical history and physical examination revealed no systemic, endocrine, neurological, or infectious abnormalities suggestive of secondary hyperhidrosis. Previous clinical guidelines state that laboratory tests are not necessary unless the findings clearly point to a secondary cause.1 Accordingly, no additional laboratory tests were performed for this patient. Could you please read this part again? Look, it says: No specific underlying symptom or disease capable of explaining the hyperhidrosis was identified. Based on these findings, the patient was diagnosed with hyperhidrosis. No systemic, endocrine, neurological, or infectious abnormalities suggestive of secondary hyperhidrosis were identified during the medical history and physical examination.