Absence of sweating
Decreased sweating; AnhidrosisAn abnormal lack of sweat in response to heat may be harmful because sweating allows heat to be released from the body. The medical term for absent sweating is anhidrosis.
Considerations
Anhidrosis sometimes goes unrecognized until a substantial amount of heat or exertion fails to cause sweating.
Overall lack of sweating can be life threatening because the body will overheat. If the lack of sweating happens in a small area only, it is usually not as dangerous.
Sweating
Sweating is the release of liquid from the body's sweat glands. This liquid contains salt. This process is also called perspiration. Sweating helps...
Causes
Cause of anhidrosis may include:
-
Burns
Burns
Burns commonly occur by direct or indirect contact with heat, electric current, radiation, or chemical agents. Burns can lead to cell death, which c...
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- Certain genetic syndromes
- Certain nerve problems (neuropathies)
- Congenital disorders including ectodermal dysplasia
Ectodermal dysplasia
Ectodermal dysplasias is a group of conditions in which there is abnormal development of the skin, hair, nails, teeth, or sweat glands.
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Dehydration
Dehydration
Dehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much...
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Guillain-Barré syndrome
Guillain-Barré syndrome (GBS) is a serious health problem that occurs when the body's defense (immune) system mistakenly attacks part of the peripher...
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- Trauma to sweat glands
- Use of certain drugs
Home Care
If there is a danger of overheating, take the following measures:
- Take a cool shower or sit in a bathtub with cool water
- Drink plenty of fluids
- Stay in a cool environment
- Move slowly
- DO NOT do heavy exercise
When to Contact a Medical Professional
Call your health care provider if you have a general lack of sweating or an abnormal lack of sweating when exposed to heat or strenuous exercise.
What to Expect at Your Office Visit
Your provider will perform a physical exam. In emergencies, the health care team will perform rapid cooling measures and give you fluids to stabilize you.
You may be asked about your symptoms and medical history.
You may be asked to wrap yourself in an electric blanket or sit in a sweatbox while the health care team watches your body's reaction. Other tests to cause and measure sweating may also be done.
A skin biopsy may be done. Genetic testing may be done if appropriate.
Skin biopsy
A skin lesion biopsy is when a small amount of skin is removed so it can be examined under a microscope. The skin is tested to look for skin conditi...
Treatment depends on the cause of your lack of sweating. You may be given medicine to cause sweating.
References
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Diseases of the skin appendages. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 33.
Miller JL. Diseases of the eccrine and apocrine sweat glands. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 39.
Review Date: 6/7/2023
Reviewed By: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.