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Living with Isolated anhidrosis with normal sweat glands

A rare genetic skin condition present from birth in which the body cannot sweat, causing heat intolerance even though sweat glands look normal.

Understanding Isolated anhidrosis with normal sweat glands

Isolated anhidrosis with normal sweat glands is a rare genetic skin condition in which the body does not sweat.

People cannot sweat from birth, which makes them very sensitive to heat. Their sweat glands look normal on a skin biopsy and are normal in number. Teeth, hair, nails, and other skin features are not affected.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Not sweating (anhidrosis)
  • Trouble tolerating heat

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in ITPR2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    International Hyperhidrosis Society may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: International Hyperhidrosis Society
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with International Hyperhidrosis Society and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the ITPR2 gene confirm the diagnosis?
How can we help the body stay cool in hot weather or during exercise?
What is the chance that other children in our family will have it?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesITPR2

Changes in the ITPR2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: anhidrosis caused by mutation in itpr2; dann-epstein-sohar syndrome; isolated generalized anhidrosis with normal sweat glands; itpr2 anhidrosis

Patient organizations

Source: NIH GARD · Isolated anhidrosis with normal sweat glandsGARD ID 17843 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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