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Which of the following is a primary cause of hyperhidrosis?

  1. Genetics

  2. Allergies

  3. Skin infections

  4. Dietary choices

The correct answer is: Genetics

Hyperhidrosis, a condition characterized by excessive sweating, is primarily influenced by genetic factors. It often runs in families, suggesting a hereditary component. The condition can occur without any underlying medical issue, which reinforces the importance of genetics in its development. While other factors such as allergies, skin infections, and dietary choices may influence sweating to some extent, they are not considered primary causes of hyperhidrosis. Allergies might lead to sweat as a reaction to an allergen, skin infections can cause localized sweating due to inflammation or fever, and certain dietary choices can affect body temperature and perspiration, but these are secondary influences rather than the root cause. Therefore, genetics stands out as the main contributor to hyperhidrosis.