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Living with Isolated hyperchlorhidrosis

An inherited condition in which sweat contains too much salt, which can lead to dehydration and low sodium, especially in babies.

Understanding Isolated hyperchlorhidrosis

Isolated hyperchlorhidrosis is an inherited condition in which too much salt is lost in sweat.

Sweat has high levels of chloride, so the body loses salt and has low sodium. Most infants have one or more episodes of dehydration with low blood sodium, which can require hospital care. These usually follow a mild illness with vomiting or diarrhea. Babies may feed poorly and grow slowly, but weight and height usually catch up by early childhood. Salt loss continues, so low sodium can still be a concern with heavy sweating, such as in warm weather or exercise.

Signs & symptoms

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

  • Slow weight gain (failure to thrive)
  • Feeding difficulties
  • Dehydration
  • Very salty sweat
  • Low blood sodium

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 CA12 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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 CA12 gene confirm the diagnosis?
What should we do during vomiting, diarrhea, or hot weather?
How is this different from cystic fibrosis?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesCA12

Changes in the CA12 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: carbonic anhydrase xii deficiency; hyperchlorhidrosis, isolated

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Isolated hyperchlorhidrosisGARD ID 17984 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Isolated hyperchlorhidrosis.

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